Rectal Complications After Perineorrhaphy and Episiotomy

Arch Surg. 1966;93(4):634-637. doi:10.1001/archsurg.1966.01330040098018.
Text Size: A A A
Published online


IMMEDIATE recognition of rectovaginal and rectoperineal injuries incident to perineorrhaphies and closures of episiotomies and the observance of sound surgical principles in their repair have led to a material reduction in the number of complications from these sources. Nevertheless, complications still develop surprisingly often, creating problems for the surgeon as well as for the patient. During the past 20 years the authors have treated 145 patients for these conditions, 128 of whom had a rectoperineal or rectovaginal fistula, 11 of whom had incontinence associated with an old third degree laceration, and 6 of whom had postpartum rectal hemorrhage. The clinical aspects of these injuries and the methods which we have used in their repair are described.


Fistulas.  —Rectoperineal fistulas may lie either superficial or deep to the sphincter ani muscles, while rectovaginal fistulas are located deep to the perineal body. The secondary openings of both, if produced by perineorrhaphy


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.