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A textbook of obstetrics . Fig. —Complete laceration of perineum through sphincter. The suture> in therectal wall Fig 43& —The rectal sutures have been tied on the rectal ^ide and the ends cutshort. The remaining SUtures are in place. LABOR COMPLICATED B YACCIDENTS AND DISEASES. 563 mode of suture is shown in figure 437. Silkworm-gut suturesare inserted first in the rectum and knotted there, with the endsleft long enough to hang an inch or more outside the anus. Twostitches should be inserted from the reetal side, through the endsof the torn sphincter muscle; and directly
A textbook of obstetrics . Fig. —Complete laceration of perineum through sphincter. The suture> in therectal wall Fig 43& —The rectal sutures have been tied on the rectal ^ide and the ends cutshort. The remaining SUtures are in place. LABOR COMPLICATED B YACCIDENTS AND DISEASES. 563 mode of suture is shown in figure 437. Silkworm-gut suturesare inserted first in the rectum and knotted there, with the endsleft long enough to hang an inch or more outside the anus. Twostitches should be inserted from the reetal side, through the endsof the torn sphincter muscle; and directly above the sphincter astitch should be placed triangularly in the torn perineum, skirt-ing the whole extent of the rectal tear, entering and emergingupon the skin of the perineum just above the anus. This resem-bles somewhat the stitch recommended by Emmet for a tornsphincter and rectum, but of itself it is not to be depended upon.
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics