. Annual of the universal medical sciences. he tissues in front of the anus, at rightangles to the vulva, and, guided by a finger in the rectum, pene-trates the septum for two and a half inches upward. The incisionis enlarged laterally to two inches, as the knife is being points of hicision are then pressed together, forming a lozenge-shaped wound, the two surfaces of wliich are brought into apposi-tion by deep sutures of strong silver wire. The ends of the sutureshe passes through a perforated leaden plate, over which tlicy aretwisted, the plate acting as a splint to the wound.
. Annual of the universal medical sciences. he tissues in front of the anus, at rightangles to the vulva, and, guided by a finger in the rectum, pene-trates the septum for two and a half inches upward. The incisionis enlarged laterally to two inches, as the knife is being points of hicision are then pressed together, forming a lozenge-shaped wound, the two surfaces of wliich are brought into apposi-tion by deep sutures of strong silver wire. The ends of the sutureshe passes through a perforated leaden plate, over which tlicy aretwisted, the plate acting as a splint to the wound. Longyear, of Detroit, ^,22f makes the incisions and denudationas in the Tait operation. When this is completed, he inserts atenaculum into the middle of the edge of each flap; the lower one Perineum. ] DISEASES OF VAGINA AND EXTERNAL GENITALS. H-29 he everts and draws down over the anus; tlie upper he everts anddraws up over the vulva, forming a large, irregularly quadrilateralwound. He unites the surfaces with silk-worm gut, inserting the. Fig. 1.—Perineoplasty. r, r, r, silk sutures to form anterior rectal wall. The exterior and interior stitches prevent injury to the rectum, e, e, first suture ; a, a, last rectal, first suture ; «, s, s, vaginal flaps. (Deutsche medicinische Wochenschri/t.) needle just inside the edges of the skin, finishing the operation bya continuous suture of horse-hair. He removes his stitches on thetenth day.
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Keywords: ., bookcentury1800, bookdecade1890, bookid1893annualof, bookyear1895
