Gynecology . w vAcvcut u m SpVmcW. -SvAuve Fig. 244.—Operation for Complete Laceration of the Perineum. (Authors technic.)The field of operation has been exposed by the denudation outlined in Fig. 243. The levatormuscles are then transfixed with tenacula and brought to view. A figure-of-8 catgut suture (No. 0)is placed as in the drawing. The ends of the sphincter muscle are transfixed and exposed in the sameway. An approximating buried catgut figure-of-8 stitch is also placed in the ends of the sphinctermuscle. Deeply placed silkworm-gut sutures are then introduced from side to side beginning
Gynecology . w vAcvcut u m SpVmcW. -SvAuve Fig. 244.—Operation for Complete Laceration of the Perineum. (Authors technic.)The field of operation has been exposed by the denudation outlined in Fig. 243. The levatormuscles are then transfixed with tenacula and brought to view. A figure-of-8 catgut suture (No. 0)is placed as in the drawing. The ends of the sphincter muscle are transfixed and exposed in the sameway. An approximating buried catgut figure-of-8 stitch is also placed in the ends of the sphinctermuscle. Deeply placed silkworm-gut sutures are then introduced from side to side beginning at thetop, as in the Emmet operation. The two buried catgut sutures are not tied until all the silkworm-gut sutures are placed. On reaching the dimple of the right side the line of demarcation is carried aroundthe dimple and up to the Bartholin duct of that side. It is of very great im-portance that the figure thus outlined should be exactly symmetric, for if it isnot, the edges of the wound when brought together from side to si
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Keywords: ., bookcentury1900, bookdec, booksubjectgynecology, booksubjectwomen
