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Since I have become familiar with the subject it has each day seemed more incomprehensible to me why the Emmet operation has not come into more general use. I have come to the conclusion that the fault lay in defective description of the operation as set forth in most cases, and in the fondness of men for working on the skin perineum, and not in the operation per se. The operation, as described by most of the writers on the subject, is hopelessly mixed up with long discourses on side issues. Too much is left to be understood from diagrams alone, with insufficient attention to details in the procedure. These are prominent faults in the descriptions given by Drs. Emmet and Dudley. Dr. Dudley also obscures his paper, as presented in "Pepper's System of Medicine," by introducing several "modifications." The first of these is one of the essential steps in
BALDY JM. EMMET's NEW OPERATION FOR PROLAPSE OF THE POSTERIOR VAGINAL WALL,Or So-called Laceration of the Perineum. Abstract of a Paper read before the Obstetrical Society of Philadelphia, February 3, 1887.. JAMA. 1887;VIII(13):339–341. doi:10.1001/jama.1887.02391380003001a
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