. The diagnosis and treatment of diseases of women. Fig. 234. Representation of the conditions presentin an old Laceration through the Sphincter Ani. Noticethe wide separation of the sphincter ends and also theexposed rectal mucosa. Each end of the torn sphincterani muscle, is indicated by a slight dimple in the skin.(Kelly—Operative Gynecology.) 188 GYNECOLOGIC DIAGNOSIS. Fig 23o Tl e sea and i e g esult ng f om aCentral Tear of the perineum. This is a very rare con-dition. The child passed out through the laceration open-ing, situated between the posterior commissure and therectum, instead o

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. The diagnosis and treatment of diseases of women. Fig. 234. Representation of the conditions presentin an old Laceration through the Sphincter Ani. Noticethe wide separation of the sphincter ends and also theexposed rectal mucosa. Each end of the torn sphincterani muscle, is indicated by a slight dimple in the skin.(Kelly—Operative Gynecology.) 188 GYNECOLOGIC DIAGNOSIS. Fig 23o Tl e sea and i e g esult ng f om aCentral Tear of the perineum. This is a very rare con-dition. The child passed out through the laceration open-ing, situated between the posterior commissure and therectum, instead of through the vaginal opening proi:e.(Hart and Barbour—Manual of Gynecology.)

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