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Article
May 15, 1909

SUBMUCOUS PERINEORRHAPHYA REPORT BASED ON SIX YEARS' EXPERIENCE WITH AN ORIGINAL METHOD

Author Affiliations

Surgeon-in-Chief to the Samaritan Hospital PHILADELPHIA

JAMA. 1909;LII(20):1568-1572. doi:10.1001/jama.1909.25420460016001d
Abstract

The methods of perineorrhaphy that have been chiefly employed for the past twenty-five years suggest more of a mathematical than an anatomic basis for their existence. For the most part, they have consisted of excisions of mucous membrane from the posterior vaginal wall having geometrical patterns that vary as do the fancies of different surgeons. In support of the various operations much has been written about the laceration in the muscular and facial planes and of the effectiveness of particular operations, yet one who studies the work of various gynecologists will be impressed by the thought that usually the precise anatomic restoration of the perineum occurs only in the theory of the operator, for the operation, as a rule, consists of little more than the removal of an area of mucous membrane and the union of the wound edges. If at times the operator's needle is made to sweep in

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