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In the delivery there was extensive laceration of the anterior wall of the vagina; the cervix and perineum, together with an inch of the rectum, were completely destroyed. Beach describes a birth of a young giant weighing 23 3/4 pounds. Its mother was Mrs. Bates, formerly Anna Swann, the giantess who married Captain Bates.

Cassidy reports a case of child-birth through the perineum. A successful operation was performed fifteen days after the accident. Dupuytren speaks of the passage of an infant through a central opening of the perineum. Capuron, Gravis, and Lebrun all report accouchement through a perineal perforation, without alteration in the sphincter ani or the fourchet.

These veins should be largely developed, and irregular or knotted, especially those of the udder. They are largest in great milkers. The knotted veins of the perineum, extending from above downwards in a winding line, are not readily seen in young heifers, and are very difficult to find in poor cows, or those of only a medium quality.

There was a wound of the perineum, and penetration of the posterior wall of the vagina, with complete separation of the soft parts from the symphysis pubis, and extrusion of the bladder.

The raw surface was dressed, the gap in the perineum brought together, and the patient made complete recovery, with preservation of his sexual powers. The preservation of the sexual power after injuries of this kind is not uncommon. There is a case reported of a man whose testicles were completely torn away, and the perineal urethra so much injured that micturition took place through the wound.

Aetius, Bartholinus, Falk, Harvey, Kolping, Hesse, Paulinus, Strauss, and Wolff give descriptions of tails. Blanchard says he saw a tail fully a span in length: and there is a description in 1690 of a man by the name of Emanuel Konig, a son of a doctor of laws who had a tail half a span long, which grew directly downward from the coccyx and was coiled on the perineum, causing much discomfort.

Surgical operations or vaginal examinations, roughly conducted, not infrequently cause rupture. Then, too, authentic cases are on record in which prostitutes have had perfectly preserved hymens. It is well known that the use of vaginal astringents may tone up and narrow the vagina and even restore the hymen to a great degree. It is this perineum that sometimes becomes torn during childbirth.

The milk-veins, for instance, are never so large and prominent in heifers and young cows as in old ones, and the same may be said of the udder, and of the veins of the udder and perineum; all of which it is of great importance to observe in the selection of milch cows.

In his "Diseases of Women" Simpson speaks of a fistula left by the passage of an infant through the perineum. Wilson, Toloshinoff, Stolz, Argles, Demarquay, Harley, Hernu, Martyn, Lamb, Morere, Pollock, and others record the birth of children through perineal perforations. Birth Through the Abdominal Wall.

But Franco possessed such skill as an operator, and appears to have been so earnest in the pursuit of what he considered a legitimate calling, that he finally overcame the popular prejudice and became one of the salaried surgeons of the republic of Bern. He was the first surgeon to perform the suprapubic lithotomy operation the removal of stone through the abdomen instead of through the perineum.