. The Southern California practitioner. ss of tonein the pubic segment. The sacral segment is curved, and the tip is the perineal body. Now if itis straightened out and its tip, the perineal body, is torn, then the uterussimply slides out of the pelvis between the pelvic valves. Therefore it seems FLAP OPERATION. 3 dear that the perineal body is an indirect support in preventing uterine pro-lapse, or, as termed by many, sacro-pubic hernia. It is a remarkable fact to be wondered at that so little is found in our lead-ing text-books on obstetrics, on the female perineum, its form, function orgen
. The Southern California practitioner. ss of tonein the pubic segment. The sacral segment is curved, and the tip is the perineal body. Now if itis straightened out and its tip, the perineal body, is torn, then the uterussimply slides out of the pelvis between the pelvic valves. Therefore it seems FLAP OPERATION. 3 dear that the perineal body is an indirect support in preventing uterine pro-lapse, or, as termed by many, sacro-pubic hernia. It is a remarkable fact to be wondered at that so little is found in our lead-ing text-books on obstetrics, on the female perineum, its form, function orgeneral characteristics. The stereotyped method of disposing of the anatomyof this important structure is to pronounce it the floor of the pelvis. Thespace extending from the inferior commissure of the vulva to the anus, andcomposed of skin, cellular tissue, aponeurotic union of muscles and the mucousmembrane of the vagina. Tyler Smith begins his remarks upon thissubject by saying, To the obstetrician, the anatomy of this part is a matter. CUT NO. , 2, 3 and 4—Silkworm Gut Sutures in Position. of great interest, and yet he gives, in substance, such a descripton of it asstated above, and represents it by an illustration showing the union of thesphincters of the anus and vagina. Playfair in his late work dismisses thesubject, which he pronounces one of great obstetrical interest with lessthan eight lines, just three more than Leishman has allotted to it, and fourmore than it received from Meadows. Among our own authors I mentionMeigs who describes the fourchette quite at length, but does not mention theperineum at all. Nor is any mention made of its anatomy by Bedford,By ford or Miller. These writers may excuse this omission by the assertionthat they do not write of anatomy, but of obstetrics, and that the studentshould come to them informed upon this subject. Thomas on the Diseasesof Women informs us that Cruveilheier, one of the most accurate writers ongross anatomy, after de
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Keywords: ., bookcentury1800, bookdecade189, booksubjectmedicine, bookyear1895
