Recent Advances in Obstetrics & Gynecology: Perineal Disorders Dilip Kumar Dutta
INDEX
Page numbers followed by ‘f’ refer to figure
A
Anal sphincter 1
complex 18f
defect 24
Anoscopy 39f
Antenatal perineal massage 13, 13f
Anterior
perineal trauma 1
urogenital triangle 1
Approximation of
bulbocavernosus muscle 12f
levator muscles 10f, 12f
Artificial anal sphincter 25
Assessment of perineal trauma 19
B
Bartholin's duct 2
C
Cardiac disease 7
Classification of perineal tear 5
Combined mechanical and neurologic trauma 19
Complications of perineal trauma 32
D
Direct mechanical injury 19
E
Epidural analgesia 3
Episiotomy 1
incisions 2f
Escherichia coli 41
F
Fecal continence scoring system 34
Female genital mutilation 3
Fetal weight 3
Fistula formation 26
Flexion technique 15, 15f
H
Hemorrhoidectomy 41
Hemorrhoids 37, 37f, 39f
in pregnancy 37, 38
I
Indications of episiotomy 7
Induction of labor 3
Instrumental birth 3
International guidelines in management of constipation in pregnancy 44
L
Loss of rectal tone 19
LUCK study 44
M
Management of
constipation in pregnancy 44
perineal tear 21
Managing constipation in pregnancy 43
Median
episiotomy 9, 10f
incision 10f
Mediolateral
episiotomy 11
incision 12f
Midline toward ischial tuberosity 12f
Muscle transfers 25
N
Needing episiotomy 13
Neurologic injury 19
P
Pelvic floor
exercises 28, 29
neuropathy 26
Performing episiotomy 9, 11f
Perineal
management techniques 15
muscles 1
tears 3, 5f, 6f
techniques 14
trauma 1, 13, 14
Perineotomy 1
Posterior
anal triangle 1
perineal trauma 1
vaginal wall 1
Proximal retraction of tissue with voluntary tightening 19
Pudendal neuropathy 24
R
Reconstruction of urogenital diaphragm 10f, 12f
Repair of
complete perineal tear 23f
vaginal mucosa 12
Ritgen's maneuver 15, 16f
Role of perineal clinic 32, 33
S
Shoulder dystocia 3
Skin closure 10f, 12f
Sphincter
and pelvic floor plication 24
injuries 18
Stimulating laxatives 28
Surgical management of anal incontinence 24
T
Traumatic obstetric injury requiring repair 3
Two methods of anal sphincter repair 22f
W
Water-binding laxatives 28
Wound infection 26
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1Recent Advances in Obstetrics and Gynecology: Perineal Disorders
2
3Recent Advances in Obstetrics and Gynecology: Perineal Disorders
Dilip Kumar Dutta MD PHD FICOG FICMCH MAFS DACOG DPS Consulting Gynecologist Director GICE Hospital Kalyani, West Bengal, India Vice Chairman, ICOG, FOGSI FOGSI Representative to SAFOG Countries
————A FOGSI Publication————
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Recent Advances in Obstetrics and Gynecology: Perineal Disorders
First Edition: 2014
9789351523093
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5Contributors
6
7Preface
In day to day obstetrical practice, every obstetrician are facing perineal tear following normal or instrumental vaginal delivery. Obstetrician, sister and midwife should know how to deliver the baby vaginally, repair perineal tear without damaging the perineal anatomy and identify early complication to prevent maternal mortality.
This book is not only focused on definition, risk factors, classification, indication of episiotomy, how to reduce and diagnose perineal trauma, its management but also focused on role of laxative, future pregnancy including chapter on hemorrhoids, Royal College of Obstetricians and Gynaecologists (RCOG) and National Health Service (NHS) guidelines on use of lactulose.
I am very much thankful to Dr Banasree Bhadra, Dr Dhrubajyoti Sarkar and Dr Indranil Dutta, to prepare this book.
My thanks to Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Managing Director) and Mr Tarun Duneja (Director-Publishing) of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India for publishing this book.
My wholehearted thanks to Dr Banani Dutta, DCH, FICMCH, Child Specialist and my daughter Miss Ipsita Dutta, BBA student are helping me to prepare this book.
Dilip Kumar Dutta