StThomas's Hospital reports . n) between the vagina and the newly united perinealwound. These are some of the main considerations thathave prevented, me from adopting Mr. Tait\s method ofoperating in its entirety, notwithstanding the ease andrapidity with which it can be performed, and the manypoints in which it marked a distinct advance on most of themethods of operating previously in vogue. The dissection having now been completed, and bleedinghaving been arrested wherever necessary either by tem-porary forceps pressure or fine silk ligature, the raw surfacesare well irrigated with sterilise
StThomas's Hospital reports . n) between the vagina and the newly united perinealwound. These are some of the main considerations thathave prevented, me from adopting Mr. Tait\s method ofoperating in its entirety, notwithstanding the ease andrapidity with which it can be performed, and the manypoints in which it marked a distinct advance on most of themethods of operating previously in vogue. The dissection having now been completed, and bleedinghaving been arrested wherever necessary either by tem-porary forceps pressure or fine silk ligature, the raw surfacesare well irrigated with sterilised hot water, and the workof introducing the sutures is proceeded with. The materialused for the sutures is silkworm gut, except in the case ofthe rectal sutures, which, in order to avoid the necessity ofremoving them, are of chromicised catgut. As regards the order in which the sutures are introduced,it is usually wise to begin with the buried perineal perineal needle (Fig. B) is introduced into the skin at Fig. about i inch from the margin of the denuded surface on thepatients left side, at a point immediately below the angle ofreflection of the vaginal flap. Keeping- a finger in therectum as a guide, the needle is passed completely roundfrom one side to the other in the substance of the recto-vaginal septum, just above the angle of reflection of theflap, and its point made to emerge on the right side at a spotVOL. XXVII. 30 440 Ojoeration for Ununited Rupture corresponding to tlie aperture of entrance on the left. C:tremust be taken to prevent the needle emerging in any partof its course, i. e. in the rectum, or in the vagina, or inthe wound, and to ascertain from time to time duiing itspassage that it has not so emerged. The needle having beensuccessfully passed, the eye is threaded with a stout silk-worm-gut suture and. the needle withdrawn, leaving thesuture in position. The suture is for the present left untied,each end being secured by a pair of small forc
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Keywords: ., book, bookcentury1800, bookidstthomasshospita27stth, bookyear1836
