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October 22, 1887

THE USE OF THE DEEP BURIED CONTINUOUS ANIMAL SUTURE IN LAPAROTOMY AND PERINEORRHAPHY.Read by title in the Section on Obstetrics and Diseases of Women, at the Thirty-Eighth Annual Meeting of the American Medical Association, June, 1887.

JAMA. 1887;IX(17):525-526. doi:10.1001/jama.1887.02400160013001d

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In his operation for restoration of the perineum, the lamented Schrœder lately used two or even three layers of continuous catgut suture, superimposed one on the other and running from before backward, and then in the reverse direction, thus building up a perineum before he united the vaginal mucous membrane.

Jenks' operation for ruptured perineum proceeds, as you remember, by splitting the septum between the rectum and the vagina, dissecting it in both ways until the adhesions are freed, and then, by bringing the lateral surfaces together, the incision, previously horizontal, is made vertical. Jenks removes the flap of vaginal tissue thus freed. Dr. Marcy has modified the operation by retaining this flap, uniting its edges in a straight line, continuous with the new perineal raphe. To hold the parts better in apposition he inserts pins in each side, which are united in the vagina and outside of the body

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