. Gynecology : . volves the sphincterani muscle the first part of the operation is carried out in every way as aboveup to the point where the buried stitch of the external perineum reaches the limitof its outward journey. At this point the stitch is tied and cut. The denudationof the skin of the external perineum is then extended as in Fig. 283 so as to exposethe ends of the torn sphincter. A new buried catgut suture is next placed at thepoint where the first was tied, and cut and continued downward, being placeddeeply on each side close to but not including the rectal mucous membrane. OPEKATI
. Gynecology : . volves the sphincterani muscle the first part of the operation is carried out in every way as aboveup to the point where the buried stitch of the external perineum reaches the limitof its outward journey. At this point the stitch is tied and cut. The denudationof the skin of the external perineum is then extended as in Fig. 283 so as to exposethe ends of the torn sphincter. A new buried catgut suture is next placed at thepoint where the first was tied, and cut and continued downward, being placeddeeply on each side close to but not including the rectal mucous membrane. OPEKATIONS ON THE VAGINA 637 By drawing the stitch tight when it reaches the external skin of the anus theruptured mucous membrane of the rectum will be approximated without exposureof the stitch. The buried stitch is now clamped while the next step is carried consists in securing with tenacula the ends of the torn sphincter and draw-ing them prominently out to view. The sphincter ends should be dissected clean.
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Keywords: ., bookcentury1900, bookdec, booksubjectgynecology, booksubjectwomen
