Treatise on gynaecology : medical and surgical . FiG. 113.—Hildebrandts Method of Peri-neorrhaphy. General disposition of the Uterus ; a, rectum; b, vagina ; c, perineum.(Vertical section.) Fig. 114.—Heppners Method of Suture in Peri-neorrhaphy. tum first by a few points which start from the intestinal mucousmembrane, penetrate the bleeding surface, and come out again in therectum. When the intestinal suture is complete up to the anus, withthe same thread, but in a contrary direction, a first plane of suture isplaced in the wound itself, going up to the superior angle in thevagina,
Treatise on gynaecology : medical and surgical . FiG. 113.—Hildebrandts Method of Peri-neorrhaphy. General disposition of the Uterus ; a, rectum; b, vagina ; c, perineum.(Vertical section.) Fig. 114.—Heppners Method of Suture in Peri-neorrhaphy. tum first by a few points which start from the intestinal mucousmembrane, penetrate the bleeding surface, and come out again in therectum. When the intestinal suture is complete up to the anus, withthe same thread, but in a contrary direction, a first plane of suture isplaced in the wound itself, going up to the superior angle in thevagina, from which the suture first started. If this one plane is sufli-cient, the lips of the vaginal wound are united, and then the peri-neum ; but if the bleeding surface is of great extent, a second planeof suture is employed before uniting; the edges (Fig. 117). Le Forfs Method ^^ resembles Demarquays, from which it wasderived, although with a number of ingenious modifications. 374 CLINICAL AND OPERATIVE GYNECOLOGY. It is applicable to complet
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