scholarly journals Perineal body

2020 ◽  
Author(s):  
Daniel Bell
Keyword(s):  
Perineal Body

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.

scholarly journals Development of a posterior sagittal anorectal surgical teaching model

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
J. A. van Ling ◽  
G. M. J. Bökkerink ◽  
I. de Blaauw ◽  
S. M. B. I. Botden
Keyword(s):  
Low Cost ◽  
Target Group ◽  
Teaching Model ◽  
Perineal Body ◽  
Perineal Fistula ◽  
Training Tool ◽  
Surgical Teaching ◽  
Long Term Prognosis ◽  
Structured Approach

Abstract Background An Anorectal Malformation (ARM) is a rare congenital malformation, which requires proper correction to ensure the best long-term prognosis. These procedures are relatively infrequent and complex, in which a structured approach is important. Therefore, training on an affordable model could be beneficial. Methods A low-cost ARM model was developed. The base was reusable and the perineal body disposable. Both expert pediatric surgeons (Experts) and residents/fellows (Target group) were recruited for this study. After testing the model, they completed a questionnaire regarding the realism and didactic value of the model, using a 5-point Likert scale. Results Forty-four participants were recruited (Target group n = 20, Experts n = 24). The model has high mean scores of 3.8–4.4 for the total group and even higher on several aspects by the Target group. The experts regarded the haptics and manipulation of the fistula less realistic than the Target group (3.7 versus 4.3, p = 0.021 and 4.2 versus 4.6, p = 0.047). It was considered to be a very good training tool (mean 4.3), without significant differences between the groups. Conclusions These results show general consensus that this model is a potent training tool for the component steps of the repair of an ARM with recto-perineal fistula by sagittal approach.

The histological microstructure and in vitro mechanical properties of the human female postmenopausal perineal body

2019 ◽  
Vol 26 (1) ◽  
pp. 66-77 ◽  
Author(s):  
Petra Kochová ◽  
Robert Cimrman ◽  
Magdalena Jansová ◽  
Květoslava Michalová ◽  
Vladimir Kalis ◽  
...  
Keyword(s):  
Mechanical Properties ◽  
Perineal Body ◽  
Human Female

scholarly journals Ultrasound imaging of the perineal body: a useful clinical tool

2019 ◽  
Vol 31 (6) ◽  
pp. 1197-1202
Author(s):  
Victoria Asfour ◽  
Giuseppe Alessandro Digesu ◽  
Ruwan Fernando ◽  
Vik Khullar
Keyword(s):  
Body Height ◽  
Ultrasound Measurement ◽  
Control Group ◽  
Anatomical Location ◽  
Body Measurements ◽  
Perineal Body ◽  
Clinical Tool ◽  
Posterior Compartment ◽  
Cross Sectional ◽  
2D Ultrasound

Abstract Introduction and hypothesis The perineal body is a fibromuscular pyramidal structure located between the vagina and the anus. It has been difficult to image because of its small size and anatomical location. This study used 2D transperineal ultrasound to measure the perineal body and assess whether there is an association with prolapse. Methods An observational, cross-sectional study was carried out in a tertiary level Urogynaecology department and included prolapse patients and healthy nulliparous volunteers (control group). This was a clinical assessment, including POP-Q and trans-perineal 2D ultrasound measurement of the perineal body height, length, perimeter, and area. Parametric tests were used, as the data were normally distributed. Results are reported as mean and 95% confidence interval (±95% CI). Results A total of 101 participants were recruited of which 22 were nulliparous healthy volunteers. Mean perineal body measurements in controls were height 22.5 ± 3.3 mm, length 17.4 ± 2.7 mm, perimeter 7.5 ± 0.9 mm, and area 2.8 ± 0.38 cm2. Perineal body measurements in 79 prolapse patients: height 16.9 ± 1.7 mm, length 16.0 ± 1.4 mm, perimeter 6.5 ± 0.5 mm and area 2.1 ± 0.5 cm2. A small perineal body was strongly associated with posterior compartment prolapse (paired t test, p < 0.0001) and wider POP-Q GH (paired t test, p = 0.0003). Surprisingly, Pelvic Organ Prolapse Quantification Perineal Body (POP-Q PB) of the two groups was not significantly different. A perineal body mid-sagittal area of less than 2.4 cm2 has been shown to be associated strongly with posterior compartment prolapse. Conclusions It is possible to measure the perineal body on 2D ultrasound. This technique facilitates the objective diagnosis of perineal deficiency. POP-Q PB does not predict the length or area of the perineal body.

95: Is perineal body length predictive of mode of delivery?

2011 ◽  
Vol 204 (1) ◽  
pp. S52-S53
Author(s):  
Amanda Yeaton-Massey ◽  
Teresa N. Sparks ◽  
Luchin Wong ◽  
Stephanie J. Handler ◽  
Michelle R. Meyer ◽  
...  
Keyword(s):  
Body Length ◽  
Mode Of Delivery ◽  
Perineal Body

Anal ultrasound and endosonographic measurement of perineal body thickness: a new evaluation for fecal incontinence in females

2004 ◽  
Vol 18 (4) ◽  
pp. 650-654 ◽  
Author(s):  
M. Oberwalder ◽  
K. Thaler ◽  
M. K. Baig ◽  
A. Dinnewitzer ◽  
J. Efron ◽  
...  
Keyword(s):  
Fecal Incontinence ◽  
Perineal Body ◽  
Anal Ultrasound
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