StThomas's Hospital reports . f the Female Perineum. Fig. 5 shows the vaginal sutures (a) and rectal sutures (b) tied, and theperineal sutures (c) introduced. The dotted lines indicate the buried portionof the sutures. The uppermost perineal suture is buried in its whole course;the others bridge across the deeper part of the wound. The lateral bordersof the vaginal flap are drawn together by a series of comparatively super-ficial sutures (d). These are the last to be tied. The sutures (c) and (d)are of silkworm gut. Fig. 6 shows the perineal wound closed, and the ends of the sutures tiedtogeth
StThomas's Hospital reports . f the Female Perineum. Fig. 5 shows the vaginal sutures (a) and rectal sutures (b) tied, and theperineal sutures (c) introduced. The dotted lines indicate the buried portionof the sutures. The uppermost perineal suture is buried in its whole course;the others bridge across the deeper part of the wound. The lateral bordersof the vaginal flap are drawn together by a series of comparatively super-ficial sutures (d). These are the last to be tied. The sutures (c) and (d)are of silkworm gut. Fig. 6 shows the perineal wound closed, and the ends of the sutures tiedtogether, (a) Vaginal sutures; (b) rectal sutures; (c) perineal sutures ;(d) sutures bringing together lateral borders of folded vaginal flap; (e)anterior boundary of new perineum; (m) meatus urinarius. At the angleof reflection of the vaginal flap there is usually left a little lozenge-shapedgap, which requires to be closed by a single superficial suture. (Drawn by R. E. Holding.) St. Thomass Hosp. Rep., Vol. XXVIl., Engraved and Pi-inteii /y Hale &^ Panielsson, Ltd. of the Female Perineum. 443 completed, unless one or two superficial horsebair stitchesare thought desirable in the intervals between the deepersutures. The ends of these superficial stitches may be cutshort, but those of the ordinary perineal sutures should beleft long, so that they can now be all tied together. Thereare two reasons for leaving the ends long. In the first place,it is found that, when left long, they are much less likelyto prick the skin and cause unnecessary irritation than whencut short; and secondly, the process of removal is greatlyfacilitated. The less elaborate the dressing of the newly repairedperineum the better. Two little strips of lintj half an inchwide and about three inches long, anointed with vaseline andlaid parallel with each other, one on each side of the wound,are all that is necessary. There are several points in regard to the after treatmentthat are of considerable imp
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