Operative gynecology : . resterilized. The torn surface of the perineum is next denuded andthe excess of the vaginal flap cut away. Two kangaroo or ten day catgutsutures are inserted deeply into the perineum behind one end of the sphinctermuscle, passed to the opposite side, taking up, in crossing, the thickest part ofthe rectal flap (about its middle portion) without penetration of the rectalmitcosa, and returned to the other end of the sphincter ani, to issue at a pointcorresponding to the place of introduction (Emmet sutures). In exceptionalcases the sphincter muscle may be very much shorte
Operative gynecology : . resterilized. The torn surface of the perineum is next denuded andthe excess of the vaginal flap cut away. Two kangaroo or ten day catgutsutures are inserted deeply into the perineum behind one end of the sphinctermuscle, passed to the opposite side, taking up, in crossing, the thickest part ofthe rectal flap (about its middle portion) without penetration of the rectalmitcosa, and returned to the other end of the sphincter ani, to issue at a pointcorresponding to the place of introduction (Emmet sutures). In exceptionalcases the sphincter muscle may be very much shortened or retracted, and itsends require approximation by buried sutures to secure the best immediateresults. When the Emmet sutures are tied the wound is converted into thecondition of a simple perineorrhaphy, and is then completed by some methodemployed for incomplete tear. Union of the Sphincter without Perineal Operation.—A case sometimes oc-curs in which the perineum is well restored, but the sphincter ends are still. Tig. 164.—Shows the Incision in the Peri-neum, Made to Expose the SphincterEnd in a Case of Complete Tear in Whichthe Perineum has been Restored with-out Securing Sphincter Union.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
