. A manual of gynæcology and pelvic surgery, for students and practitioners. Fig. 61.—Emmett operation for incomplete perineal laceration. The operation is complete. transversely across buried just beneath the vaginal mucosa,runs through the tip of the tongue of tissue in the middle of theposterior vaginal wall, and emerges on the opposite side at thepoint occupied by the forceps on that side. This suture should SPLIT-FLAP PERINEORRHAPHY 147 also be buried throughout its entire length, and when tied itapproximates the points formerly occupied by the three forcepsand reveals the extent of skin
. A manual of gynæcology and pelvic surgery, for students and practitioners. Fig. 61.—Emmett operation for incomplete perineal laceration. The operation is complete. transversely across buried just beneath the vaginal mucosa,runs through the tip of the tongue of tissue in the middle of theposterior vaginal wall, and emerges on the opposite side at thepoint occupied by the forceps on that side. This suture should SPLIT-FLAP PERINEORRHAPHY 147 also be buried throughout its entire length, and when tied itapproximates the points formerly occupied by the three forcepsand reveals the extent of skin perineum remaining to be skin sutures are then introduced from side to side and theoperation is Fig. 62.—Secondary repair of incomplete perineal laceration by split-flapmethod. The posterior commissure is split transversely. Split-flap Perineorrhaphy.—As originally practised by Taitthis operation had little more than a cosmetic effect, but on itsprinciple is based an operation which combines the advantages 148 INJURIES TO THE PERINEUM AND PELVIC DIAPHRAGM of the Hegar in narrowing the vagina, the Emmett in elevatingthe anus, and has merits of its own in securely joining thelevators of either side between the vagina and rectum.
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