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The diagraph rh occurring at the beginning of a syllable in a word of Greek origin is ordinarily changed to rrh when a prefix or other lexical element is placed before it, as in this terminal form, from rhaphē.
Surgical suturing.
[G. rhaphē, suture]

-rhaphy, -rrhaphy

suffix meaning "suturing in place": colporrhaphy, gastrorrhaphy.

-(r)rhaphy, -(r)rhaphia

suffix meaning a "suturing in place": cysticorrhaphy, meningeorrhaphy, osteorrhaphy.

-rhaphy, -rrhaphy

word element. [Gr.] seam, suture; surgical repair of.