A textbook of obstetrics . :x. Figs. 427 and 428.—Perforations and lacerations of the nymphse (Bar). Lacerations of the Perineum.—The causes and preventive treat-ment of lacerations of the perineum are considered repair of the injury is dealt with in this section. The com-monest form of torn perineum is shown in figures 430 and may be seen that the tear rarely involves the perineum alone,but usually extends up the posterior wall of the vagina, on oneor both sides of the posterior column. Experience teaches, more-over, that lacerations of the perineum alone, when they do oc


A textbook of obstetrics . :x. Figs. 427 and 428.—Perforations and lacerations of the nymphse (Bar). Lacerations of the Perineum.—The causes and preventive treat-ment of lacerations of the perineum are considered repair of the injury is dealt with in this section. The com-monest form of torn perineum is shown in figures 430 and may be seen that the tear rarely involves the perineum alone,but usually extends up the posterior wall of the vagina, on oneor both sides of the posterior column. Experience teaches, more-over, that lacerations of the perineum alone, when they do occur,have very little effect upon the patients after-condition, eventhough they reach to the anus and sever the transverse perinealmuscle (see Figs. 434, 435). The greatest care should be ex-ercised, therefore, to ascertain the extent of the injur)- to thevagina which may be associated with the tear of the is best done by placing the woman in the dorsal positionacross the bed, with her thighs well flexed upo


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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics