Operative gynecology : . 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 Fig. 165.—Shows the Sphincter Ends Oblit-erated and United by Catgut Suture. It is best to use two or three sutures and tosplint the ends in addition by a silkworm gutsuture which transfixes both ends of the muscleand passes up into the septum. This is not shownin the next figure. separated, and the patient has, consequently, no satisfactory control over thepassage of gas and of fecal moveme


Operative gynecology : . 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 Fig. 165.—Shows the Sphincter Ends Oblit-erated and United by Catgut Suture. It is best to use two or three sutures and tosplint the ends in addition by a silkworm gutsuture which transfixes both ends of the muscleand passes up into the septum. This is not shownin the next figure. separated, and the patient has, consequently, no satisfactory control over thepassage of gas and of fecal movements. Such a case is shown in Fig. 164,operated upon Dec. 8, 1897. The method of operation adopted in this as inother similar cases, was to make a horseshoe incision on the perineal surface,and turn down a flap of tissue toward the bowel, similar to the apron described 292 RUPTURE OF RECTOVAGINAL SEPTUM AND RELAXED VAGINAL OUTLET.


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1