"The female perineum includes all those structures which fill the outlet of the pelvis." This seems to be a sweeping definition, but such it is according to Deaver.1 Speaking in the broad sense, this may be admitted to be true. Still, when we consider the repair of injuries due to traumatisms incident to labor, we speak of the perineum in a more restricted sense. In considering it from the view point ordinarily taken, we confine our attentions rather to injuries involving the structures anterior to the posterior margin of the anus, the exception to this rule being the consideration of tears extending beyond this orifice or encircling the lower end of the rectum or the backward splitting of the coccygeal ligament.
In presenting a description of this operation I am aware of the fact that the literature is teeming with descriptions of many operations which in the hands of