. Gynecology : . \ta>.< Fig. 283.—Clarks Perineoplasty for Com-plete first part of the operation is performedas for a simple tear. The area for exposing theruptured ends of the sphincter is outlined anddenuded. In the above drawing the buried cat-gut Cushing suture approximating the levatormuscles is represented as having been alreadyintroduced. It is better not to introduce thissuture until the ends of the sphincter have beensecured, as in Fig. 284. • Fig. 284.—Clarks Perineoplasty for Com-plete ends of the sphincter have been securedby tenacula. The buried Cushi
. Gynecology : . \ta>.< Fig. 283.—Clarks Perineoplasty for Com-plete first part of the operation is performedas for a simple tear. The area for exposing theruptured ends of the sphincter is outlined anddenuded. In the above drawing the buried cat-gut Cushing suture approximating the levatormuscles is represented as having been alreadyintroduced. It is better not to introduce thissuture until the ends of the sphincter have beensecured, as in Fig. 284. • Fig. 284.—Clarks Perineoplasty for Com-plete ends of the sphincter have been securedby tenacula. The buried Cushing stitch hasbeen applied. It is best to tie the buried sutureat this point and to continue later with a newstitch as will be seen in Fig. 285. of scar tissue so that they may be approximated freely and without interrupted catgut sutures No. 0 are placed so as to unite the ends firmlytogether (Fig. 285). The buried catgut suture is then continued as in theoperation for simple tear, and when ti
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Keywords: ., bookcentury1900, bookdec, booksubjectgynecology, booksubjectwomen
