Atlas and epitome of operative gynecology / by Oskar Schaeffer.

  • Oskar Schaeffer
Date:
1904
Catalogue details

Licence: Public Domain Mark

Credit: Atlas and epitome of operative gynecology / by Oskar Schaeffer. 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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    levator ani and bulbocavernosus muscles. In a similar manner the vagina and the urethra are surrounded by muscular fibers that are more or less capable of acting independently and run in a sagittal direction; they are the transversus perinsei, bulbocavernosus, and ischio- cavernosus muscles. These muscles are capable of con- stricting the vagina, hence the name, constrictor cunni, which is also applied to them. (See Atlas of Obstetrical Diagnosis and Treatment, Plate 31, Fig. 69.) [There is a difference of opinion among authors as to the relative importance of the fascial and muscular structures of the pelvic floor as regards the element of strength. It is generally held that the latter are most important, though it is highly probable that this view is incorrect.—Ed.] OPERATIONS ON THE VULVA. Most operations on the perineum are performed for the purpose of repairing solutions of continuity in the tissues resulting from lacerations during labor. They are per- formed immediately after the injury to secure primary repair ; or, more rarely, after the wound has begun to granulate, when healing by second intention is expected ; or a plastic operation is performed, with or without ex- cision of the cicatricial tissue, and with or without a flap. The best plan, whether for the purpose of obtaining the best possible healing or to make the course of the puer- perium as easy as possible, or to insure the proper involu- tion of the pelvic organs in situ, is to repair a recent perineal laceration without delay. Owing to the situation of the wound, infection is very apt to take place, while the