Fourth degree perineal tears: Surgical repair technique in 10 steps.

Adult Anal Canal / injuries Female Humans Obstetric Labor Complications / surgery Perineum / injuries Pregnancy Suture Techniques
Fourth degree perineal tears Obstetrical anal sphincter injury (OASIS) Vaginal birth, Anal sphincter, Postpartum urinary retention

Journal

Journal of gynecology obstetrics and human reproduction
ISSN: 2468-7847
Titre abrégé: J Gynecol Obstet Hum Reprod
Pays: France
ID NLM: 101701588

Informations de publication

Date de publication:
Nov 2021
Historique:
received: 08 03 2021
revised: 26 03 2021
accepted: 15 04 2021
pubmed: 23 4 2021
medline: 22 12 2021
entrez: 22 4 2021
Statut: ppublish

Résumé

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.

Identifiants

DOI: 10.1016/j.jogoh.2021.102151 PMID: 33887534
pubmed: 33887534
pii: S2468-7847(21)00089-1
doi: 10.1016/j.jogoh.2021.102151
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

102151

Informations de copyright

Copyright © 2021 Elsevier Masson SAS. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The author's declare no conflict of interest.

Auteurs

Gery Lamblin (G)

Department of Gynecology and Obstetrics, Femme Mère Enfant University Hospital, 59 Boulevard Pinel, 69677 Lyon-Bron, France; Claude Bernard University Lyon 1, avenue Rockfeller, 69008 Lyon, France. Electronic address: gery.lamblin@chu-lyon.fr.

Maïti de Boisredon (M)

Department of Gynecology and Obstetrics, Femme Mère Enfant University Hospital, 59 Boulevard Pinel, 69677 Lyon-Bron, France; Claude Bernard University Lyon 1, avenue Rockfeller, 69008 Lyon, France.

Léonie Picard (L)

Department of Gynecology and Obstetrics, Femme Mère Enfant University Hospital, 59 Boulevard Pinel, 69677 Lyon-Bron, France; Claude Bernard University Lyon 1, avenue Rockfeller, 69008 Lyon, France.

Anthony Atallah (A)

Department of Gynecology and Obstetrics, Femme Mère Enfant University Hospital, 59 Boulevard Pinel, 69677 Lyon-Bron, France; Claude Bernard University Lyon 1, avenue Rockfeller, 69008 Lyon, France.

Jerome Massardier (J)

Department of Gynecology and Obstetrics, Femme Mère Enfant University Hospital, 59 Boulevard Pinel, 69677 Lyon-Bron, France; Claude Bernard University Lyon 1, avenue Rockfeller, 69008 Lyon, France.

Gautier Chene (G)

Department of Gynecology and Obstetrics, Femme Mère Enfant University Hospital, 59 Boulevard Pinel, 69677 Lyon-Bron, France; Claude Bernard University Lyon 1, avenue Rockfeller, 69008 Lyon, France.

Erdogan Nohuz (E)

Department of Gynecology and Obstetrics, Femme Mère Enfant University Hospital, 59 Boulevard Pinel, 69677 Lyon-Bron, France; Claude Bernard University Lyon 1, avenue Rockfeller, 69008 Lyon, France.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female

Evaluation of Low-Value Services Across Major Medicare Advantage Insurers and Traditional Medicare.

Ciara Duggan, Adam L Beckman, Ishani Ganguli et al.
1.00
Humans United States Aged Cross-Sectional Studies Medicare Part C

Effectiveness of Virtual Yoga for Chronic Low Back Pain: A Randomized Clinical Trial.

Hallie Tankha, Devyn Gaskins, Amanda Shallcross et al.
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Fourth degree perineal tears: Surgical repair...
questionsmedicales.fr › Système digestif › Tube digestif › Tube digestif inférieur › Gros intestin › Canal anal › Fourth degree perineal tears: Surgical repair...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Fourth degree perineal tears: Surgical repair...
questionsmedicales.fr › Maladies urogénitales › Maladies de l'appareil urogénital féminin et complications de la grossesse › Complications de la grossesse › Complications du travail obstétrical › Fourth degree perineal tears: Surgical repair...
questionsmedicales.fr › Régions du corps › Périnée › Fourth degree perineal tears: Surgical repair...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques de la reproduction › Reproduction › Grossesse › Fourth degree perineal tears: Surgical repair...
questionsmedicales.fr › Procédures de chirurgie opératoire › Techniques de fermeture des plaies › Techniques de suture › Fourth degree perineal tears: Surgical repair...