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The primary repair of the perineum is one of the important features of the obstetric work of every general practitioner, and often one of the most difficult and unsatisfactory to perform, owing to lack of the skilled assistants and inability to obtain a satisfactory view of the operative field.
To overcome these difficulties, I have devised a small instrument which is simple, light and self-retaining. It is quickly applied, giving a full view of both the anterior and posterior vaginal walls, and the operator now has full use of both hands. The vagina can be packed with sterile gauze carried in a large test-tube and an immediate repair made in an easy, bloodless and satisfactory manner.
The instrument is conveniently carried in an ordinary obstetric bag and its mechanism is not complicated.
It is convenient for examination of the vagina after delivery as it can be painlessly inserted and can
PALMER DH. A NEW SELF-RETAINING VAGINAL SPECULUM FOR IMMEDIATE REPAIR OF THE PERINEUM. JAMA. 1911;LVII(26):2048. doi:10.1001/jama.1911.04260120238005