Video 1 The use of fibrin glue for the endoscopic management post-intubation tracheal lacerations: a case series

PURPOSE Perineal involvement in Crohn's disease is a common and distressing condition, often refractory to medical or surgical treatments. Recent reports suggest the efficacy of hyperbaric oxygenation (HBO) in the healing of perineal lesions. We evaluated HBO in severe patients with perineal Crohn's disease. METHODS Ten consecutive patients (8 women, 2 men; mean age, 30 years) were studied. T...

In the differential diagnosis of perineal cystic lesions, a wide range of lesions can be considered, but perineal epidermoid cyst is rare. We present a case of perineal epidermoid cyst, a man with a complaint of painless perianal mass who appeared at the general surgery clinic. Ultrasonographic and conventional magnetic resonance imaging (MRI) findings are noted along with the diffusion-weighte...

Latar Belakang : Wilayah Kerja Puskesmas Desa Tri Tunggal Jaya Kec. Banjar Agung dengan melihat data persalinan tahun 2021 didapatkan total sebanyak 823 ibu bersalin, dan didapat 31 (3,77%) laserasi perineum 2 mengalami infeksi post partum pada akibat tidak baiknya perbaikan luka kebersihan perawatan organ ibu. Selanjutnya dilakukan wawancara bebas terpimpin, terhadap 3 bersalin ke menyatakan j...

Symptomatic perineal hernias following abdomino-perineal excision of rectum have been reported to occur uncommonly. We present the case of a 79-year-old gentleman who developed a perineal hernia after laparoscopic-assisted extralevator abdomino-perineal excision (ELAPE) of the rectum. Despite initial myocutaneous flap repair, there was further symptomatic recurrence. Magnetic resonance imaging ...

INTRODUCTION — The basic principles of laceration repair have not changed significantly in the last century, but the therapeutic options now available are more innovative and rigorously studied. The development of topical anesthetics, tissue adhesives, and fast-absorbing sutures has made the management of lacerations less traumatic for the patient. In addition, the use of procedural sedation fo...

Perineal injury sustained during childbirth is a major aetiological factor in the development of perineal pain, sexual dysfunction, prolapse and disturbance in bowel and bladder function. Preferential use of the vacuum extractor, restricting the use of episiotomy, repair of anal sphincter rupture by a trained doctor and selective caesarean section in these women can be beneficial in preventing ...

PURPOSE In a single center retrospective study we previously reported superior dry rates and fewer artificial urinary sphincter revisions when the sphincter cuff was placed via the traditional perineal approach compared with a penoscrotal approach. A multicenter study was performed to compare the approaches further and explain the disparity in outcomes. MATERIALS AND METHODS We performed a re...

BACKGROUND Evaluate the feasibility of active delivery of the anterior arm during spontaneous delivery. This maneuver could decrease incidence of second-degree perineal tears because it reduces fetal biacromial diameter. METHODS An observational comparative prospective study was conducted at our teaching maternity from July 2012 to March 2013. The study included 199 nulliparous women ≥18 year...