Treatise on gynaecology : medical and surgical . FLAP-SPLITTING OPERATIONFOR COMPLETE PERINEAL LACERATION LACERATION OF THE PERINEUM. 383 The two flaps, vaginal and rectal, when they are separated, form aquadrilateral, at the bottom of which is the intact jDortion of theseptum (see Plate III.); laterally they are attached to the soft partsby a thick margin, which must be divided. The transverse divisionof the seiDtum is accomjolished when the bistoury passes deeply in-ward to cut the lateral joortions, whose section should be thorough. Great care should be employed in placing the first suture

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Treatise on gynaecology : medical and surgical . FLAP-SPLITTING OPERATIONFOR COMPLETE PERINEAL LACERATION LACERATION OF THE PERINEUM. 383 The two flaps, vaginal and rectal, when they are separated, form aquadrilateral, at the bottom of which is the intact jDortion of theseptum (see Plate III.); laterally they are attached to the soft partsby a thick margin, which must be divided. The transverse divisionof the seiDtum is accomjolished when the bistoury passes deeply in-ward to cut the lateral joortions, whose section should be thorough. Great care should be employed in placing the first suture to seethat it traverses the ends of the sphincter, whose situation may berecognized before the denudation by the small dimple on each side ofthe cicatrix. This suture is made by Tait and Munde of silkwormgut, but by Sanger of silver, as in partial laceration. All the sutures.

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