Treatise on gynaecology : medical and surgical . ce too large; and the presence of twoopen wounds so close to the line of suture is not free from danger, forthey may be means of entrance for infection. Freundjs Method.—Freund has insisted with much force upon thenecessity of making the denudation in such a way that we reproducethe state in which the perineum is found immediately after the the flaps are made in the usual manner, the suture includes withgreat traction parts which normally are never in a|)position. Freund,therefore, dissects out a surface whose form is wholly subordinated
Treatise on gynaecology : medical and surgical . ce too large; and the presence of twoopen wounds so close to the line of suture is not free from danger, forthey may be means of entrance for infection. Freundjs Method.—Freund has insisted with much force upon thenecessity of making the denudation in such a way that we reproducethe state in which the perineum is found immediately after the the flaps are made in the usual manner, the suture includes withgreat traction parts which normally are never in a|)position. Freund,therefore, dissects out a surface whose form is wholly subordinated tothat of the solution of continuity. If, for examj)le, there is a cicatrixwhich has the form oo (Fig. 108), it is the remains of the initiallaceration which has contracted, which may be designated by the line LACERATION OF THE PERINEUM. 371 h a h X. Frennd incises the X)osterior column of the vagina in sucha case at a certain distance from its extremity, and at the sides of thiscolumn carries the bistoury backward toward the point h h ( 108) in such a way that he circumscribes the cicatrices on thevaginal surface and on the labia majora, and completes the denuda-tion in the ordinary manner. He sutures the line x y (Fig. 109),
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