File:Treatise on gynaecology - medical and surgical (1894) (14780462352) (cropped).jpg

Identifier: treatiseongynaec02pozz (find matches)
Title: Treatise on gynaecology : medical and surgical
Year: 1894 (1890s)
Authors: Pozzi, Samuel, 1846-1918 Wells, B. H., tr
Subjects: Gynecology Generative organs, Female Women Gynecology Genital Diseases, Female Gynecologic Surgical Procedures
Publisher: New York : William Wood & Co.
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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f anew by the patient. In general, the perineal sutures of silver, silkworm gut, or silkare removed on the tenth or twelfth day, when they begin to cut andirritate the tissues; if there is no sign of local inflammation, we maywait a little longer, especially when silver has been used. The vaginalsutures are removed the last; catgut may be left alone. The patient may begin to walk at the end of two months, and thesexual relation be resumed at the end of six. Prognosis and Results of Perineorrliaijliy.—TXxQ operation is notreaUy a grave one. There is no fear of great hemorrhage or of septi-caemia; the cases of the latter complication are all, with rare excep-tions, of very ancient date. The results are also very much better since we ceased to fear sup-puration. Before that, the absence of antiseptics and the multiplica-tion of sutures in the rectum and the vagina made infection of thewound almost a certainty; and when the union was complete superfi- PLATE IV. POZZI 5 GYNECOLOGY.VOL.2.
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STOLTZS OPERATION FOR CYSTOCELEHEGARS OPERATION FOR RECTOCELE LACERATION OF THE PERINEUM. 387 cially, there was often a cavity left more deeply, with a resultingrecto-vaginal listula. This accident has seldom happened since theemployment of antiseptics and since more care has been taken in theapposition of the deeper parts, and since the sutures in the greatmajority of cases have been passed through the perineum entirely(Emmets and Taits methods). Moreover, the care taken in the union of the deep muscular planesand in the junction of the divided ends of the sphincter has improvedthe results obtained as regards the function of the intestine. It wasnot uncommon to see women whose perinea had the appearance ofbeing perfectly restored, and yet who had no power of retaining thegaseous and liquid contents of the intestine. Many cases prove that parturition may be accomiDlished withoutthe production of any new rupture of the perineum, even when theoi3erator has diminished the size of the vul

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