Parturient perineorrhaphy

In the light of improved means of combating infection, better and safer anesthesia, the ready availability of blood transfusion, and less traumatic delivery, reasons formerly advanced in opposition to operations at the time of parturition for repair of preexisting lesions of the pelvic floor are now less formidable than they were in the past. Such operations now can be carried out quickly and safely with considerable benefit in terms of immediate comfort and well-being of the patient, prevention of later development of more serious lesions, and savings in cost of hospitalization. In a series of more than 300 patients so operated upon-the technique used is described herein-none died, and in a review of the records many advantages of operation immediately after delivery, as compared with long delay of needed repair, were noted.