Dr. Conquest's outlines of midwifery : intended as a text-book for students, and a book of reference for junior practitioners.

  • Conquest, Dr.
Date:
1854
Catalogue details

Licence: Public Domain Mark

Credit: Dr. Conquest's outlines of midwifery : intended as a text-book for students, and a book of reference for junior practitioners. Source: Wellcome Collection.

    323/370 (page 309)
    If the laceration be trifling in its extent, approxi- mation of the parts, by binding the knees together, with poultices and cleanliness, will generally effect a cure; and if the mischief be more extensive, these are the only means that are admissible at the time of the accident. At some remote period the callous surfaces may be removed by a scalpel, and the cure effected by an operation similar to that performed for the cure of hare-lip. [When the laceration is extensive and deep-seated, the plan recommended by Mr. J. Baker Brown offers the best chance of success. His mode consists m making a deep incision, three-quarters of an inch, on each side of the rupture, and completely into the vagma. The divided portions of the mucous mem- brane are to be effectually removed. A portion of the membrane which embraces the rectum, in the intermediate space, is also to be detached. The next stage of the operation is to divide the sphincta on each side of the os coccygis: this is a most impor- tant part of the proceeding, and must be effectually performed. The sutures are then to be passed deeply on each side. The sutures must be double, so as to permit the passage of a piece of elastic bougie through them on each side. Mr. Brown thinks twfne preferable to silk, as it is not so likely to excite suppuration. After the operation, opium must be freely given, in order to keep the parts in a quiescent state. —J. M. W.]