. A treatise on obstetrics for students and practitioners . AD, B C. Lateral incisions at labial , CF. Prolongation of tbese incisions toloosen ends of sphincter muscle. At pointsD and C incisions are carried toward centralline to split recto-vaginal septum. Closure of complete laceration. A B, A incisions. 1 1. Continuous sutureclosing flap, making new posterior vaginalwall. 2 2. Continuous suture, closing flap,making new anterior rectal wall. This stitch should be tied and the suture-material held lightly by anassistant. With dissectiug-forceps the operator then brings tog
. A treatise on obstetrics for students and practitioners . AD, B C. Lateral incisions at labial , CF. Prolongation of tbese incisions toloosen ends of sphincter muscle. At pointsD and C incisions are carried toward centralline to split recto-vaginal septum. Closure of complete laceration. A B, A incisions. 1 1. Continuous sutureclosing flap, making new posterior vaginalwall. 2 2. Continuous suture, closing flap,making new anterior rectal wall. This stitch should be tied and the suture-material held lightly by anassistant. With dissectiug-forceps the operator then brings togetherthe two edges of the torn rectal tissue, uniting them with the continuousover-and-over stitch. He thus repairs the torn rectal wall down tothe sphincter. If the ends of this muscle are plainly found, he maybring the muscle together by this continuous stitch. If not, it is wellsimply to join the mucous membrane of the rectum, leaving a full dis-section to expose the muscle. The lower end of the rectal stitch shouldnot be tied, but the needle and unemp
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
