Episiotomy-Related Perineal Injury During Spontaneous Vaginal Delivery
Journal Title: Türk Kolon ve Rektum Hastalıkları Dergisi - Year 2018, Vol 28, Issue 2
Abstract
Aim: Perineal tear a common occurrence during vaginal delivery. In this study, we present patients who underwent surgical intervention due to iatrogenic perineal tears during vaginal delivery. Method: We retrospectively reviewed patients who had iatrogenic perineal tear during normal vaginal delivery and for whom consultation by the general surgery unit was requested between May 2017 and December 2017. Results: Mean age of the patients was 27 years. Mean follow-up after surgery was one week. All patients underwent surgery due to grade 3A perineal tear after episiotomy with mediolateral incision during vaginal delivery under spinal anesthesia. Mean birth weight of the delivered infants was 3331 g and mean head circumference was 34.7 cm. Sphincter tone was reduced in digital rectal examination on postoperative day 1, and improved but still lower than normal on day 7. Three patients (42.8%) had gas incontinence, while no patients had fecal incontinence. Conclusion: Anorectal injuries are managed by surgical interventions which vary depending on time to intervention, severity of injury, severity of fecal contamination, presence of comorbid injuries, the patient’s general health status, and the surgeon’s preference and experience. Primary repair should be preferred in case of early diagnosis.
Authors and Affiliations
Mehmet Patmano, Durmuş Ali Çetin, Tufan Gümüş, Yusuf Yavuz, Sümeyra Yıldırım
Keywords
Related Articles
- EP ID EP382293
- DOI 10.4274/tjcd.79847
- Views 107
- Downloads 0
Predictive Factors for the Development of Surgical Site Infection After Colorectal Cancer Surgery
Aim: In this study, we aimed to determine the predisposing factors and cut-off values for surgical site infection in patients who were operated for colorectal cancer. Method: We retrospectively analyzed data of 86 patien...
Precocious Brain Metastasis of Colorectal Cancer: A Report of Two Cases
Colorectal cancer is one of the most common causes of death due to cancer. In the majority of patients, diagnosis of brain metastasis (80%) follows diagnosis of the systemic cancer (metachronous presentation). However, b...
Magnetic Resonance Imaging Value to Predict Pathologic Staging in Locally Advanced Rectal Cancer After Neoadjuvant Chemoradiation
Aim: This study was designed to evaluate the role of magnetic resonance imaging (MRI) on preoperative restaging of locally advanced rectal cancer after neoadjuvant chemoradiotherapy (CRT), in order to facilitate individu...
Colonoscopy Findings in Patients Who Have Positive Fecal Occult Blood Test for Colorectal Cancer Screening
Aim: To determine the rate of colonoscopies performed in patients referred for colonoscopy due to positive fecal occult blood test in colorectal cancer screening, and the rates of cancer, polyps, and other colorectal dis...
A Rare Cause of Left Lower Quadrant Abdominal Pain: Atypically Located Acute Appendicitis Due to Malrotation: Case Report
Malrotation is an anomaly that occurs when the embryological middle bowel, or ‘midgut’, rotates around the superior mesenteric artery and ends with opposite fixation to the peritoneum. There are many causes of left lower...