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October 27, 1883

THE RESTORATION OF THE PERINÆUM BY A NEW METHOD.

JAMA. 1883;I(16):477-479. doi:10.1001/jama.1883.02390160013001a

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Abstract

[Read in the Section on Obstetrics and Diseases of Women.]

The anatomy of the perinæum has within the last few years become fairly well understood, and its importance demonstrated to be greater by far than was earlier supposed. The perineal body is now recognized as an anatomical entity, and is the key-stone in the arch of perineal support. Its physiological importance in parturition has been well demonstrated recently by Dr. Hart, of Edinburgh,—an understanding of which will do much to lessen the frequent occurence of perineal lacerations. The lesion when partial is often overlooked; indeed, the gynæcologist, gist, from his standpoint of observation, is inclined to feel that the injury, when it does not involve the sphincter ani, is in the majority of instances unrecognized. The two anatomical points most important to bear in mind in reference to the vagina and its value as a column of elastic support to

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