A treatise on the medical and surgical diseases of women, with their homopathic treatment (1880) (14776670612)

Repair of perineal laceration

Identifier: treatiseonmedica00eato (find matches)

Title: A treatise on the medical and surgical diseases of women, with their homopathic treatment ..

Year: 1880 (1880s)

Authors: Eaton, Morton Monroe. (from old catalog)

Subjects: Women

Publisher: New York, Philadelphia, Boericke & Tafel (etc., etc.)

Contributing Library: The Library of Congress

Digitizing Sponsor: The Library of Congress

Text Appearing Before Image:

king the two wires of each suture and twisting themtogether over a piece of bougie like the one placed throughthe loops of the sutures upon the opposite side. (See Fig.No. 63.) After these sutures are placed and tightened around thepiece of bougie or quill, as was formerly used, superficial_^ stitches between the deep ones may be takenjust to include the cu-taneous tissue, approx-imating it more evenly;and these may be re-moved in about fourdays. The ends ofthe sutures should bewrapped together in apiece of soft cloth, toprevent their irritatingthe thighs. After Treatment.—As soon as the opera-tion is completed thepatient may be re-moved to her bed, firsttying the knees to-gether. After the pa-tient , has recoveredfrom the anaesthetic,ten drops of Tr. Opiimay be given and repeated every eight or ten hours for twoor three days, when the dose may be reduced to five dropsif the bowels show no disposition to move. Beef tea, soup,milk, etc., should constitute the diet for ten days or two

Text Appearing After Image:

Fig. No. 63.—Quill Suture Adjusted in Cases ofLacerated Perineum, LACERATION OF THE PERINEUM. 639 weeks. The urine should be drawn off with a self-retainingcatheter. No vaginal washes are required, nor should theybe allowed. In the recent case, following confinement, werecommend them to wash away the discharges from the uteruswhich follow ordinary delivery; but in the old case, Ave haveno need of them, and when they are needed in the recentcase, they should be used while the patient is on her sideinclining towards the face. Time for the Operation.—The time to be selected for anoperation for the restoration of the perineum is within a fewdays after the menstrual flow (if the menses have come onsince confinement), in order to get the parts healed beforethe next period. Cautions.—In placing the sutures do not draw them tootightly. There is more liability to make a mistake in thisdirection than in any other. When the sutures are drawn tootightly the normal circulation is arrested, a

a treatise on the medical and surgical diseases of women 1880 perineal laceration book illustrations diseases medicine images from internet archive library of congress

1880

Library of Congress

http://commons.wikimedia.org/

public domain