The propriety of repairing the posterior vaginal wall and the pelvic floor after labor by an immediate or intermediate operation is universally conceded. It is curious, therefore, that the other injuries of the genital canal in labor are ignored by the majority of general practitioners and specialists, although they are almost as common and have consequences quite as serious as the so-called "lacerations of the perineum." Indeed, when one considers the indubitable relationship of lacerated cervix to cancer of that region and the discomfort of a cystocele, it is questionable if injuries of the pelvic floor are not of subordinate importance among the three varieties of traumatism to which the genital canal is subjected in labor.
It must appear illogical to the unprejudiced observer to admit that injuries of the pelvic floor should be repaired without fail in the puerperium, but that the other injuries of childbirth, equally disadvantageous to
HIRST BC. THE PLASTIC SURGERY IN THE UNIVERSITY MATERNITY FOR THE YEAR 1903.. JAMA. 1904;XLII(10):646–647. doi:10.1001/jama.1904.92490550013002f