Treatise on gynaecology : medical and surgical . Figs. 134 and 125.—Complete Laceration op the Perineum ; Perineorrhaphy. Simpsons method ; vivification ; sutures. appear on the perineum and none are tied in the rectum. Tait doesnot include the skin in the deep series; Munde advises to do so;Martin em^^loys the continuous catgut suture on superposed planes. Iodoform in powder is used for the dressing, and the sutures areremoved on the seventh and fourteenth days. Simpsons Method.—From the chronological standpoint this pro-cedure should be described before the preceding, which it much anti-cipa


Treatise on gynaecology : medical and surgical . Figs. 134 and 125.—Complete Laceration op the Perineum ; Perineorrhaphy. Simpsons method ; vivification ; sutures. appear on the perineum and none are tied in the rectum. Tait doesnot include the skin in the deep series; Munde advises to do so;Martin em^^loys the continuous catgut suture on superposed planes. Iodoform in powder is used for the dressing, and the sutures areremoved on the seventh and fourteenth days. Simpsons Method.—From the chronological standpoint this pro-cedure should be described before the preceding, which it much anti-cipated; but as it is less important, I will treat it as an a^Dpendix. Itresembles Taits in the manner of denuding the tissues, but differsfrom it in the sutures; my description is taken from Hart and Bar-bour.^^ The first incision starts from the end of the recto-vaginal septum,enters both rectum and vagina, follows the internal face of the labium 884 CLINICAL AND OPERATIVE GYNAECOLOGY. ma jus from within outward, and emerges at the point 1; a


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