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404 ROYAL MEDICAL AND CHIRURGICAL SOCIETY. ROYAL MEDICAL AND CHIRURGICAL SOCIETY. hour's hard work the bowel again became fairly empty, and the operation which had been planned was proceeded with. This consisted of a combination of Mr. Whitehead's wellknown operation for severe hæmorrhoids, together with Mr. Lawson Tait's splitting operation for cases of ruptured perineum. The rectum being plugged through the vaginaldoi:10.1016/s0140-6736(01)13271-x fatcat:zb37e7xllfgzjdrl6podzxo7ta