Outlines of the diseases of women / by John Phillips.

  • Phillips, John.
Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Outlines of the diseases of women / by John Phillips. Source: Wellcome Collection.

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    position, with the nates well over the edge of the operating table: a Clover's crutch is better applied to the legs. A chloroformist and two assistants are necessary. Inspection of the Parts.—This shows us a gaping vaginal orifice (Fig. 58), with the rectal opening altered in shape—viz., like an isosceles triangle (Fig. 62, a, c, b) with a semi-circular corrugated base : the sides of the triangle are the edges of the rectal tear, the base the outline of the retracted sphincter, the ruptured ends of Fig. 58. View of genitalia in complete perineal rupture. The patient is in the dorsal decubitus, and a cotton wool pledget has been inserted into the rectum to show the edges of the recto-vaginal septum. (From a photograph.) which (Fig. 62, a, b), are separated and situated at the inferior angles of the triangle. The edges of the rent may not be so straight as they are represented in Fig. 62; this is due to a bulging of the rectal mucous membrane; a pile may also interfere with the theoretically triangular appearance. If the left forefinger be now passed into the rectum, with its palmar surface directed upwards, the edges of the rent will be better seen and felt. The primary object of the operation is to bring the torn edges of the sphincter together. The first step is to get a raw edge; for this purpose two modes of procedure have been followed :