Operative gynecology : . ocele, simplesuture together of the anterior borders of the levator ani muscles in themedian line oftentimes gives the best results. The disadvantages of this opera-tion are that hemorrhage is free and often difficult to entirely control, more-over it is hard to avoid leaving dead space. My former associate, Dr. G. , has recently devised a method (Amer. Jour. Obstet., October, 1905, 304 RUPTURE OF RECTO-VAGINAL SEPTUM AND RELAXED VAGINAL OUTLET. p. 497) whereby these two dangers are avoided, and a firm solid perineal bodyis built up. Dr. Holdens technique is we
Operative gynecology : . ocele, simplesuture together of the anterior borders of the levator ani muscles in themedian line oftentimes gives the best results. The disadvantages of this opera-tion are that hemorrhage is free and often difficult to entirely control, more-over it is hard to avoid leaving dead space. My former associate, Dr. G. , has recently devised a method (Amer. Jour. Obstet., October, 1905, 304 RUPTURE OF RECTO-VAGINAL SEPTUM AND RELAXED VAGINAL OUTLET. p. 497) whereby these two dangers are avoided, and a firm solid perineal bodyis built up. Dr. Holdens technique is well shown in the accompanying figures. Thearea of internal denudation is triangular, the apex of the triangle lying from4 to 6 cm. from the outlet in the median line. If the limits of the denuda-tion are outlined by a sharp knife the mucosa is easily removed in strips withthe Emmet scissors. The levator ani muscles are now felt lying just behindthe ascending ramus of the ischium. The levator ani on the left is caught by V.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectgynecology, bookyear1
