Fourth degree perineal tears: Surgical repair technique in 10 steps
| Autor: | Léonie Picard, J. Massardier, Erdogan Nohuz, Anthony Atallah, Gery Lamblin, Maïti de Boisredon, Gautier Chene |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty External anal sphincter Anal Canal Fourth degree Perineum 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Humans Surgical repair 030219 obstetrics & reproductive medicine business.industry Suture Techniques Obstetrics and Gynecology Resident education medicine.disease Surgery Obstetric Labor Complications Reproductive Medicine Rectovaginal fistula 030220 oncology & carcinogenesis Fourth degree perineal tear Tears Female Anal sphincter business |
| Zdroj: | Journal of gynecology obstetrics and human reproduction. 50(9) |
| ISSN: | 2468-7847 |
| Popis: | Obstetrical anal sphincter injury (OASIS) may lead to significant comorbidities, including anal incontinence, rectovaginal fistula, and pain. A correct repair is required to avoid improper healing, as a persistent defect in the external anal sphincter after delivery can increase the risk of complications and worsening of symptoms following subsequent vaginal deliveries. Herein is described the surgical repair technique for a fourth degree perineal tear. Regarding resident education, there are challenges associated with the proper training in OASIS repair. The procedure is illustrated by an instructive video article that standardizes the essential steps to make the technique ergonomic and easy to perform with step-by-step explanations. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect