Licence: Public Domain Mark
Credit: Woman : her diseases and their treatment / by John King. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
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![this part of the operation, as found in his work above alkided to, is not perfectly clear. He says: A clean incision is now to be made about an inch external to the edges of and equal to the fissure in length, and sufficiently deep to reflect inward the mucous membrane, and so to lay bare the surface as far as another incision on the inner margin. [^See Fig. 4.] The denudation of the opposite side of the fissure is then to be practiced in a similar manner, and the mucous membrane from any intermediate portion of the recto-vaginal septum must also be pared away. This denudation must be perfect, for the slightest remnant of mucous membrane will most certainly establish a fistulous opening when the rest of the surfaces have united.* Fig. 4. Shows the denuded surfaces and the insertion of the quill suture before the parts are brought together, and also the division of the sphincter on each side of the coccyx. * In Braithwaite's Retrospect, Part, xxvii. p. 196, the direction is somewhat clearer. After directing to secure the patient and shave the parts, he continues: Then each assistant should hold the sides of the vagina and perineum, so as to insure](https://iiif.wellcomecollection.org/image/b21061932_0067.jp2/full/800%2C/0/default.jpg)
