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October 31, 1903


JAMA. 1903;XLI(18):1061-1065. doi:10.1001/jama.1903.92490370003001a

Recent publications show that, notwithstanding the study of the subject by many of our best surgeons during the present generation, there is by no means a general acceptation of any well-settled method for the repair of the injuries of the perineum. On this account I add this contribution, although I have several times published monographs on this subject.

As a primary premise, it may be accepted that the repair of any injured organ should be undertaken to restore it, as far as possible, to its original normal condition. In order to accomplish this, it must be first ascertained just what the normal condition has been. In other words, it must consist of an accurate knowledge of the anatomy and function of the component parts.

The injuries to the perineal structures vary widely. In the minor degree, the hymen, or the vaginal fourchette, may be the only part involved, but

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