. The Principles and practice of gynecology : for students and practitioners. lth, immediate operation may be im-perative. The presence of menstrual fluid, however, is unfavorable,though usually not a bar to union by first intention in a uterine opera-tion. An operation performed immediately upon the close of men-struation might cause it to reappear; if too near the anticipatedperiod, it might excite a premature flow. One may operate safely ExPIiANATION OF FlGrUE 42. n. Ligature applied in this manner may slip. Reduced Lia:ature applied in this manner cannot slip. Catgut tied in th
. The Principles and practice of gynecology : for students and practitioners. lth, immediate operation may be im-perative. The presence of menstrual fluid, however, is unfavorable,though usually not a bar to union by first intention in a uterine opera-tion. An operation performed immediately upon the close of men-struation might cause it to reappear; if too near the anticipatedperiod, it might excite a premature flow. One may operate safely ExPIiANATION OF FlGrUE 42. n. Ligature applied in this manner may slip. Reduced Lia:ature applied in this manner cannot slip. Catgut tied in this manner notapt to become loose. Reduced one-half. c. The forceps grasping the needle over the eve is apt to crush it. d. The forcejjs grasping the needle in this way does not hold it firmly. e. Correct grasp. /, g, h, i. Different forms of needles. Ordinary ;, k, I, m. Needle-points of different varieties, magnified. 100 GENERAL PRINCIPLES. between the third day after the close of one period and the tenth daybefore the anticipated appearance of the next. Figure A, denuding a surface with Emmets curved scissors ; B, C, suturing a wound. The question of primary or secondary operations after puerperallacerations has been much discussed. Emmets operation for lace-ration of the cervix, unless there be hemorrhage from the torn sur- MTKOR OPERATTONS. 101 faces, is delavetl ordinarily until after the itucrpcriiiin. Many suc-(!tssfnl cases of iininiiliate ojicration, howivcr, have been laceration of tlie j)erinenni, however extensive, the iniinedinteoperation is (lesiral)lc for two reasons : The torn parts can be adjustedaccurately to their former relations, which is almost impossible inthe sccoiulary operation ; and the operation, if well performed, gen-erally results in union, and thereby protects the patient atrainstsejitic infection through the torn surfaces. The writer, therefore,would atlvise the primary (tperati(»n of })erineorrluiphv even as late astw
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