EXPORT CITATION

Chapter-08 Obstetric Anal Sphincter Injuries

BOOK TITLE: Manual of Vaginal Hysterectomy

Author
1. Gadam Mohan A
ISBN
9789352703685
DOI
10.5005/jp/books/18027_9
Edition
1/e
Publishing Year
2018
Pages
14
Author Affiliations
1. Dr R N Cooper hospital, Vile Parle (w). Mumbai; Balabhai Nanavati Hospital, Vile Parle (w); BSES/MG Hospital, Andheri (w); Eva Medicare, Fertility and Endoscopy center, Andheri (w)
Chapter keywords
Obstetric anal sphincter injury, perineal trauma, perineal injury, perineal tear, oasis, perineal skin, vaginal mucosa

Abstract

This chapter describes obstetric anal sphincter injuries. This topic will cover basics of all degrees of fresh perineal tears (Obstetric anal sphincter injuries or OASIS) with particular emphasis on 3rd and 4th degree perineal tears. Out of total, 85% of women who have a vaginal birth have some form of perineal trauma. The morbidity associated with perineal injury and repair is a major health problem. Trauma can be deliberate to widen the passage of outer birth canal or spontaneous while conducting a difficult vaginal delivery or an operative vaginal delivery. Anatomy of perineum, mechanism of anal sphincter injuries, classification of perineal tears, classification of 3rd and 4th degree perineal injury, prediction and prevention, identification of obstetric anal sphincter injuries, repair of perineal trauma, repair of oasis, recommended material and technique for 1st and 2nd degree tears or episiotomy, suturing of 3rd and 4th degree perineal tears, choice of suture materials, and postoperative care are also discussed in this chapter.

Related Books

© 2019 Jaypee Brothers Medical Publishers (P) LTD.   |   All Rights Reserved

Powered by MPS ScholarStor