StThomas's Hospital reports . on. Fig. 4 shows the rectal and vaginal sutures. The rectal sutures (b) areof catgut, and unite the rent in the anterior rectal wall. The uppermost isthe first to be introduced. The needle enters the margin of the rent on theleft side, traverses the tissues along the dotted line, emerges on the rawsurface, re-enters the raw surface on the opposite side, and, following thedotted line, is finally brought out at a point on the right margin of the rent,exactly opposite to the point of original entry. Each suture is tied beforethe next is inserted. The ends lie inside
StThomas's Hospital reports . on. Fig. 4 shows the rectal and vaginal sutures. The rectal sutures (b) areof catgut, and unite the rent in the anterior rectal wall. The uppermost isthe first to be introduced. The needle enters the margin of the rent on theleft side, traverses the tissues along the dotted line, emerges on the rawsurface, re-enters the raw surface on the opposite side, and, following thedotted line, is finally brought out at a point on the right margin of the rent,exactly opposite to the point of original entry. Each suture is tied beforethe next is inserted. The ends lie inside the rectum. When they have allbeen tied, the ends may be cut short at the anus. The drawing, in order toavoid confusion, represents the .sutures inserted but not tied. The vaginalsutures (a) are of silkworm gut. Their ends are tied together in a bunchand left curled up in the vagina, whence they can be easily withdrawn forremoval. (Drawn by R. E. Holding.) St. Thomass Hosp. Rep., , Vol. XXVII., PL II. 5^ \ 1^^ . ^AVV<-. Kngmvcd and Printed by Bale & Danieisson, Ltd. of the Female Perineum. 439 of tlie rent. On the other hand, neglect of the vaginal Vwill leave open a channel of communication (and possibleinfection) between the vagina and the newly united perinealwound. These are some of the main considerations thathave prevented, me from adopting Mr. Tait\s method ofoperating in its entirety, notwithstanding the ease andrapidity with which it can be performed, and the manypoints in which it marked a distinct advance on most of themethods of operating previously in vogue. The dissection having now been completed, and bleedinghaving been arrested wherever necessary either by tem-porary forceps pressure or fine silk ligature, the raw surfacesare well irrigated with sterilised hot water, and the workof introducing the sutures is proceeded with. The materialused for the sutures is silkworm gut, except in the case ofthe rectal sutures, which, in order to avoid the necessity of
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