Identifier: tristatemedicalj2189ball (find matches)
Title: Tri-State medical journal
Year: 1895 (1890s)
Authors: Ball, James Moores, 1863-1929
Subjects: Tri-State Medical Society Medicine
Publisher: St. Louis : (s.n.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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aginal septum. Symptoms in many cases of the first degree are prolapsus of vagina with rectocele or cystocele, or both; symptoms of second degreeare sub-involution of vagina, prolapsus uteri, cystocele and rectocele; gen-eral debility of system in most prolonged cases; third degree, prolapsus of rectum, with incontinence of feces and intestinal gases. Prolapsus of uterus, endometritis and endocervicitis, pelvic pain and traction upon the broad ligaments, most common in third degree. 324 Perineo-Plasty-Mayfield. Sequelae of perineal lacerations are almost innumerable and are constantly multiplying until after the change of life. Some are quite remote, and are often overlooked or not attributed to the rupture. I have found many cases suffering from globus hystericus, and from general nervousness; some from hystero-epilepsy. Every practitioner knows without statistics that the aggravated sufferings, mental and physical , of the unfortunate woman who is dragging away her life with prolapsus
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FIGURE 3. Cut number three represents the operation for cases like number two, the stitches in the manner described in this paper, and left in the newly closed rectum, while the seven perineal stitch lines represent the silk worm gut stitches which are passed around the field of denudation from left to right, all. however, being out of sight, from side to side, while the single dark line represents the great primary suture of medium sized Chinese braid silk which is passed above posterior to the entire field of denudation. The tying of this single stitch carries the operation to the otage shown incut number six. of vagina or uterus, sub-involution and inability to retain fecal matter and flatus. But many with small tears suffer greatly from lost physiological function of vagina. The operation of Perineorrhaphy and Perineo-Plasty is nearly a hundred years old. We can point with pride to the work of Dieffenbach and Eangenbeck, Brown and Savage, Sims, Emmett, Tait, and others, for the Origina

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