Immediate post-partum repair of old perineal lacerations: A survey of personal experiences with notes on indications and limitations of the procedure

Abstract

1.1. Immediate post-partum repair of old perineal lacerations is a safe and feasible gyneplastic procedure.2.2. Reparative operation is especially recommended for a symptom-producing condition in a patient fearing or unable to afford rehospitalization at a more propitious time.3.3. Although later operation is cleaner and less bloody, and allows a better technique, there is little added risk from immediate operation, and the morbidity incidence is low.4.4. Perineal infection was noted in 5 of 148 reparative operations, and the repair broke down completely in three of these.5.5. The outstanding postoperative complication is dyspareunia and this is avoidable.6.6. Immediate post-partum repair of cystocele is much less satisfactory and offers reasonable probability of effective correction only in selected cases and in expert hands. It is not without danger and more satisfactory results are generally obtained by later operation.