COLPO-PERINEORRHAPHY.Read in the Section of Obstetrics and Diseases of Women, at the forty-third Annual Meeting of the American Medical Association, held at Detroit, June, 1892.

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INTRODUCTION. In 1877, I read a paper before the Michigan State Medical Society in which were mentioned "some new procedures in the operation for laceration of the perineum" and Jan. 8, 1879, I read a paper before the Cincinnati Obstetrical Society, which was published in the American Journal of Obstetrics, for April, 1879, describing the same procedure as in the first mentioned article, the latter being entitled "Perineorrhaphy and a Description of a New Mode of Operating." This paper advocated a new mode of submucous dissection of the tissues or what is now designated flap-splitting.

This mode of operating was favorably commented upon by the leading medical journals of the day and the leading text books on gynecology published in this country continued for many years to sanction it. In that paper the cutting away of the flap instead of preserving it was advised. Subsequently I preserved the flap, and