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In all operations on the perineum, such as cutting for stone, plastic operations upon the vagina or uterus, the removal of piles, and every operative procedure around the genitalia and buttocks, when the position of the patient is in the dorsal decubitus, it is necessary for the surgeon to have two assistants to hold the limbs in proper position, namely: the legs flexed upon the thighs, and oftentimes the thighs upon the abdomen. Besides being tiresome for the assistants, their hands and arms, and even the feet and legs of the patient, are nearly always in the way, and while the will is strong the flesh is often weak, and the grasp on the limb becomes more and more loosened as the moments roll into the hours of the operation.
Many devices have been presented to the profession in order to obviate this difficulty, but they have all been unpractical,
WILE WC. SIMPLE SUPPORTS FOR USE IN ALL OPERATIONS ABOUT, ON, OR NEAR THE PERINEUM. Read before ike Section on Gynecology, at the Thirty-ninth A nnual Meeting of the American Medical Association, May, 1888. JAMA. 1889;XII(7):231–232. doi:10.1001/jama.1889.02400840015003b
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