Colpoperineorrhaphy and the structures involved : the vagina and perineum and how to mend them.

  • Robinson, Byron, 1855-1910.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: Colpoperineorrhaphy and the structures involved : the vagina and perineum and how to mend them. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    2. (1830) Dieffenbach, union by sutures, and ten- sion relieved by lateral incisions. Roux (1834) intro- duced it into France, as well as Mark See (1885), and Polail]on(1885). 3. Baker Brown (1885, union by sutures of the denuded surfaces. Wilms and Staude cultivated it in Germany. 4. The next important contribution and method devised in perineorrhaphy was von Langenbeck's flap method (1850). It was described and performed with a master hand.. Von Langenbeck also suggests that the lateral incisions of Dieffenbach may be added, ss it obviates dragging from movements. He advocated operation immediately after the injury, if possible. Von Langenbeck makes several distinct steps in the oper- ation : vivification of the free border of the recto- vaginal septum; the undoubling of the septum and the formation of the flap destined to form in the new perineum, the anterior side of the triangular space formed by two canals, vagina and rectum, with the perineum as the base; the vivification of the two lips of the laceration; the insertion of the sutures. In this operation of perineorrhaphy von Langenbeck started the flap method. The flap operation protects the wound from secretions (vaginal or rectal). 5. In 1867 Simon of Heidelberg began the real modern steps in successful perineorrhaphy, which was a combination of perineorrhaphy and posterior col- porrhaphy. Simon simply improved on Baker- Brown's method by not only freshening the perineum, .but also carrying the denudation high up into the vagina. Simon denuded the vagina by the aid of a fenestrated speculum. The upper angle of the vagi- nal wall was denuded by introducing the finger into the rectum. Spiegelberg and Veit aided in develop- ing the subject. Englehart wrote in 1871; Banga in 1875 wrote a thesis on Kolpo-perineorplastik ao-