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.

    35/248 (page 29)
    ends of muscles retract the tissues; and these ends must be brought together to insure a perfect restoration of the perineum to its original strength. The needle, to be introduced in the manner prescribed, must be curved, of good size, and made of good steel; it is first held at right angles to the surface at the edge of the wound and then introduced with a broad lateral sweep (Fritsch). If the mass of tissue is more than the needle can hold, the latter is brought out in the bottom of the wound and reintro- duced as nearly as jiossible at the same point; this has the additional advantage that when the suture is drawn tight, the floor of the wound is pushed back. The material for suture in this operation should be one that can be allowed to remain in place for some time, and one that does not drain, such as silver wire, alu- minium-bronze (this is apt to tear through), or impreg- nated, non-draining thread, such as silk impregnated with a 10 per cent, solution of gutta-percha, as first suggested by the author; celluloid twine (Braun, Pagenstecher); fil de Florence (silkworm-gut) ; reindeer-tendon ; kanga- roo-tendon, and the like. For buried sutures catgut, or at most very thin linen or silk thread, should be used; the former is absorbed, the latter frays out. [There can be little doubt that the buried sutures should always be easily absorbable catgut.—Ed.] The success of the operation depends quite as much on the preparatory and after-treatment as on exactness in technic. The preliminary treatment consists in thorough evac- uation of the bowel, which must be begun, in the case of plastic operations for the repair of old perineal