Rajani Rawat

There should be no place for a Complete Perineal Tear, which can be considered as an unwelcome outcome, in modern obstetrical practice. Horrifying though it may appear, domiciliary midwifery is still widespread in the subcontinent and the resulting complications are encountered in plenty. Even more distressing is the observation that these cases with complete perineal tears are forced to live with this perpetual incontinence for many decades for want of proper medical attention before they finally reach a tertiary centre where perineal plastic repair facilities are available. The author has set out to simplify surgical repair of complete perineal tears by creating a step-by-step procedural process, illustrated to emphasise those surgical steps, which are critical to this procedure. The author has also provided important notes in an effort to aid the surgeon in reducing blood loss.