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COLPOPERINEORRHAPHY AND THE STRUCTURES INVOLVED.

BYRON ROBINSON, B.S., M.D.
JAMA. 1898;XXXI(16):921-925. doi:10.1001/jama.1898.92450160040002p.
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ABSTRACT

The second step of the operation is to introduce the sutures of silkworm gut. The two fingers are removed from the rectum and well cleaned. The point of the handled needle is introduced at the upper angle of the wound (No. 2 in Fig. 21) without penetrating the skin or vaginal mucous membrane, carried along about one-half inch from the distal edge of the vaginal flap and made to emerge at the median raphe. It is then threaded and drawn out. The point of the needle is again introduced at the upper angle of the wound on the opposite side (No. 4 in Fig. 21), forced along the distal edge of the flap about one-half inch from the edge and made to emerge again on the median line. It is threaded and drawn out. This constitutes the first suture. Generally three anterior sutures are introduced in the above manner. To

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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