Repair of old complete perineal lacerations.
Our subjects were 32 patients whose old complete perineal lacerations were repaired in the 10 hospitals in the South Hampton Roads Metropolitan area over a 20-year period. The layer technique of repair (26 patients) and the Warren flap procedure (6 patients) were used. Function improved in 24 of 26 patients (92%) with adequate follow-up. Function was completely restored in 22 of 26 patients (85%). The use of a careful mechanical and antimicrobial bowel prep is emphasized, as is the debatable use of the paradoxical incision (Miller).
Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, VA.
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D000293:Adolescent; D000328:Adult; D000368:Aged; D005242:Fecal Incontinence / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D008722:Methods; D008875:Middle Aged; D007744:Obstetric Labor Complications; D010502:Perineum / Q000293:injuries*; D011247:Pregnancy