Puerperal perineal repair.

Perineal lacerations, which may or may not include the rectal sphincter and mucosa, commonly result from birth trauma. The surgical treatment of these complications is commonly performed during a period not associated with pregnancy - usually in the perimenopausal years or after the patient has achieved her ideal family size. Puerperal perineal repair, described here, has not been associated with a higher incidence of morbidity or recurrences. The technique is well known to gynecologists, and it can be safely employed during the immediate postpartum period. At this time, it is economically advantageous and prevents a longer period of distress caused by patient disability.