Transperineal repair of third degree perineal tear and anterior rectocele with complete perineal body reconstruction - a video vignette

2017 ◽  
Vol 19 (5) ◽  
pp. 504-504 ◽  
Author(s):  
H. Elfeki ◽  
S. H. Emile ◽  
W. Omar
Keyword(s):  
Perineal Body ◽  
Perineal Tear ◽  
Anterior Rectocele ◽  
Video Vignette

Transvaginal repair for anterior rectocele - a video vignette

2018 ◽  
Vol 20 (7) ◽  
pp. 647-648 ◽  
Author(s):  
M. Shalaby ◽  
H. Elfeki ◽  
W. Omar
Keyword(s):  
Transvaginal Repair ◽  
Anterior Rectocele ◽  
Video Vignette

Emergent repair of a fourth‐degree perineal tear – a video vignette

2020 ◽  
Vol 22 (11) ◽  
pp. 1767-1767
Author(s):  
J. M. Ryan ◽  
D. P. Toomey
Keyword(s):  
Perineal Tear ◽  
Fourth Degree ◽  
Video Vignette

EPISIOTOMY : A CHALLENGING OBSTETRIC INTERVENTION

2003 ◽  
Vol 42 (145) ◽  
pp. 54-58
Author(s):  
D S Malla
Keyword(s):  
Blood Loss ◽  
Pelvic Floor ◽  
Anal Sphincter ◽  
Intracranial Haemorrhage ◽  
Perineal Tear ◽  
Obstetric Intervention ◽  
Anal Sphincter Damage

ABSTRACTThe professional literatures on the development of widely practiced procedure, episiotomy through theyears from the first publication in 1742 are reviewed. It reveals the change in number of publication as wellas the contributors to the development of perception about episiotomy. So it consisted expression of opinionof doctors initially then the co-workers like nurses and researchers and clients or consumers themselvestoo. It concludes that episiotomies prevent anterior perineal tear but fails to accomplish other benefitstraditionally ascribed to pelvic floor damage and relaxation including its sequel and also protection ofnewboin from intracranial haemorrhage and intrapartum asphyxia. Episiotomy substantially increasematernal blood loss during delivery and risk of anal sphincter damage with their long term morbidity.There is an urgent need to restrict the use of episiotomy in vaginal delivery.Key Words: Episiotomy, Perineal tear, anal sphincter damage.

One Stage Surgical Management for Third Degree Recto-vaginal Laceration in Mares: A Report of Two Cases

2019 ◽  
Vol 14 (04) ◽  
Author(s):  
R. Pooniya ◽  
D. K. Jhamb ◽  
R. Saini ◽  
Satveer K. Kumar ◽  
S. K. Sharma
Keyword(s):  
Surgical Management ◽  
Rectovaginal Septum ◽  
Perineal Body ◽  
Birth Canal ◽  
One Stage ◽  
Perineal Lacerations

Rectovaginal lacerations in the mare occur during parturition when the foal’s limb(s) or head are forced caudal and dorsal. The injury is seen predominantly in primiparous mares and is usually due to violent expulsive efforts by the mare (Colbern et al., 1985; Turner and McIlwraith, 1989). The injury is also seen following forced extraction of a large fetus or extraction before full dilation of the birth canal. Third-degree perineal lacerations occur when there is tearing through the rectovaginal septum, the musculature of the rectum and vagina, and the perineal body.

Laparoscopic segment IV a liver resection: the diamond technique – a video vignette

2019 ◽  
Vol 21 (9) ◽  
pp. 1099-1100
Author(s):  
Mihailo Bezmarevic ◽  
Anton F. Engelsman ◽  
Marc G. Besselink
Keyword(s):  
Liver Resection ◽  
Video Vignette

scholarly journals Birth tears after spontaneous and vacuum-assisted births with different vacuum cup systems – a retrospective cohort study

2020 ◽  
Vol 48 (6) ◽  
pp. 575-581
Author(s):  
Martina Kreft ◽  
Roland Zimmermann ◽  
Nina Kimmich
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Care Center ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Low Grade ◽  
Singleton Pregnancy ◽  
Perineal Tear ◽  
Vertex Presentation

AbstractObjectivesBirth tears are a common complication of vaginal childbirth. We aimed to evaluate the outcomes of birth tears first by comparing the mode of vaginal birth (VB) and then comparing different vacuum cups in instrumental VBs in order to better advise childbearing women and obstetrical professionals.MethodsIn a retrospective cohort study, we analyzed nulliparous and multiparous women with a singleton pregnancy in vertex presentation at ≥37 + 0 gestational weeks who gave birth vaginally at our tertiary care center between 06/2012 and 12/2016. We compared the distribution of tear types in spontaneous births (SBs) vs. vacuum-assisted VBs. We then compared the tear distribution in the vacuum group when using the Kiwi Omnicup or Bird’s anterior metal cup. Outcome parameters were the incidence and distribution of the different tear types dependent on the mode of delivery and type of vacuum cup.ResultsA total of 4549 SBs and 907 VBs were analyzed. Birth tear distribution differed significantly between the birth modes. In 15.2% of women with an SB an episiotomy was performed vs. 58.5% in women with a VB. Any kind of perineal tear was seen in 45.7% after SB and in 32.7% after VB. High-grade obstetric anal sphincter injuries (OASIS) appeared in 1.1% after SB and in 3.1% after VB. No significant changes in tear distribution were found between the two different VB modes.ConclusionsThere were more episiotomies, vaginal tears and OASIS after VB than after SB. In contrast, there were more low-grade perineal and labial tears after SB. No significant differences were found between different vacuum cup systems, just a slight trend toward different tear patterns.

Re‐Do Sphinkeeper™ procedure for treating recurrent faecal incontinence – a video vignette

2021 ◽  
Author(s):  
Christopher Dawoud ◽  
Bernhard Capek ◽  
Leonhard Bender ◽  
Kerstin Melanie Widmann ◽  
Stefan Riss
Keyword(s):  
Faecal Incontinence ◽  
Video Vignette
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