Abstract
Objective: To describe and discuss the technique to diagnose, preparing the reparation and postoperative management in old perineal rupture case.
Methods: A 28-year-old primipara woman was referred to YPK Mandiri Hospital after having incontinence to flatus, to urinate and passive soiling. Three months before admission, she had her first child through vaginal delivery.
Discussion: She was diagnosed with a third-degree obstetric anal sphincter injury (OASIS). Rectal examination with digital palpation (pill-rolling motion) and ultrasound examination, revealed a distinct gap anteriorly (10 – 2 o'clock). End to end technique was preferred to repair the defect.
Conclusion: A good understanding of perineal and anal sphincter anatomy is essential to diagnose OASIS. The aim of reconstructive surgery is to restore the continuity of both the external and internal anal sphincters. Ideally, the repair should be performed as soon as possible after the injury.
Keywords:obstetric anal sphincter injuries, OASIS, third-degree tear, perineum, perineal trauma.
Methods: A 28-year-old primipara woman was referred to YPK Mandiri Hospital after having incontinence to flatus, to urinate and passive soiling. Three months before admission, she had her first child through vaginal delivery.
Discussion: She was diagnosed with a third-degree obstetric anal sphincter injury (OASIS). Rectal examination with digital palpation (pill-rolling motion) and ultrasound examination, revealed a distinct gap anteriorly (10 – 2 o'clock). End to end technique was preferred to repair the defect.
Conclusion: A good understanding of perineal and anal sphincter anatomy is essential to diagnose OASIS. The aim of reconstructive surgery is to restore the continuity of both the external and internal anal sphincters. Ideally, the repair should be performed as soon as possible after the injury.
Keywords:obstetric anal sphincter injuries, OASIS, third-degree tear, perineum, perineal trauma.
| Original language | English |
|---|---|
| Journal | Indonesian Journal of Obstetrics and Gynecology |
| Publication status | Published - 2019 |