. Annual of the universal medical sciences. Fig. 3. FIG. 4. COLPOPERINEORRHAPHY. (Journal of American Medical Association.) septum, where it enters the flap at its upper fourth, burrows across tothe opposite side and down the denuded surface to the outside. Thefourth and fifth sutures are buried under the denuded surface asfar up as the junction of septum and flap; pass under flap with-out burrowing in it to the opposite side. A straight, thin needleis then passed under the portion of denuded surface contiguous tothe edge of the flaps and through this to the opposite side. Whenthere is any lia


. Annual of the universal medical sciences. Fig. 3. FIG. 4. COLPOPERINEORRHAPHY. (Journal of American Medical Association.) septum, where it enters the flap at its upper fourth, burrows across tothe opposite side and down the denuded surface to the outside. Thefourth and fifth sutures are buried under the denuded surface asfar up as the junction of septum and flap; pass under flap with-out burrowing in it to the opposite side. A straight, thin needleis then passed under the portion of denuded surface contiguous tothe edge of the flaps and through this to the opposite side. Whenthere is any liability to hsemorrliage, a silk suture is passed out-side the adjusted sutures and over the flap to be removed intwenty-four hours (a-a, Fig. 8). Zinke, of Cincinnati,-j^l has had a recurrence of lacerationduring labor in nearly all his cases operated upon, in which heremoved the flap. He describes a new operation upon theperineum, which is a modification of that of Hegar. Making a H-32 BALDY. r Perineam. U-sliaped incision, he dissects dee


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