Manual of Obstetrics

Cover Manual of Obstetrics
Manual of Obstetrics
Edward Parker Davis
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Stitches are inserted at intervals of a quarter of an inch until the laceration is closed almost to the external os. The cervix is then drawn toward the left side, the right labium opened, and the laceration upon the right side closed in the same manner. Should a cervical tear extend upward to and through the vaginal junction it can rarely be successfully closed by suture. As much as possible of the laceration should be brought together, and oozing from the remainder controlled by intrauterine ...tam- poning with gauze and the vaginal tampon.
Lacerations of the Pelvic Floor. When these have been exposed in the manner described, the more extensive lacera- tions should first be sutured. Especial care must be taken to close accurately the highest point of the laceration. In- terrupted stitches of No. 2 chromicized catgut are placed at half-inch intervals, the curved needle going sufficiently deep to bring together not only the mucous membrane of the vag- ina but the connective tissue and fascia beneath it.


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