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Article
September 17, 1898

COLPOPERINEORRHAPHY AND THE STRUCTURES INVOLVED.

Author Affiliations

Professor in the Chicago Post-Graduate School of Gynecology and Abdominal Surgery; Professor of Gynecology and Abdominal Surgery in Illinois Medical College; Professor of Gynecology and Abdominal Surgery in Harvey Medical College; Gynecologist to St. Anthony's Hospital; Consulting Surgeon to the Mary Thompson Hospital for Women and Children. CHICAGO, ILL.

JAMA. 1898;XXXI(12):645-650. doi:10.1001/jama.1898.92450120019002i

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Abstract

The vaginal portion is endowed with considerable strength and it becomes blended with and is lost on the vaginal wall. The rectal portion of the levator ani fascia superior passes to the rectal wall, becoming continuous with the fibers and blending with it. There is a strong fillet passing between the rectal and vaginal canal. The part of this fascia which passes to the rectal wall, has been termed the ligament of the rectum. This fascia forms a strong support to the muscular wall of the rectum.

It is not an argument very rich in facts to say that the perineal body is to fill in the space in that region. It serves as an attachment for one end of the levator ani muscle. A subject which I have not found mentioned in the books is that in many parts the fascia of the pelvis consists of many distinctly defined

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