BACKGROUND Perineal trauma during childbirth affects millions of women worldwide every year. The aim of the Perineal Assessment and Repair Longitudinal Study (PEARLS) was to improve maternal clinical outcomes following childbirth through an enhanced cascaded multiprofessional training program to support implementation of evidence-based perineal management. METHODS This was a pragmatic matched...

RESULTS: Fourteen patients were identified. Median operating time for the PTO flap was 49 min. There were no cases of flap loss, donor site morbidity or major wound complications. Superficial skin dehiscence and perineal hernia formation were reported in 2 patients respectively. None of the patients developed chronic perineal pain. All patients reported excellent satisfaction with the aesthetic...

constipation is a common complaint affecting a considerable part of the population in the western world [1]. compared to men, women suffer more from this ailment [2]. usually, more than one factor is involved. lack of fiber in the diet, the presence of hemorrhoids or rectocele have all been incriminated to cause constipation or else exacerbate it. while bearing down causes some degree of perine...

Episiotomy, the incision of the perineum during the last part of the second stage of labour or delivery is still considered a controversial procedure. Long-term complications after episiotomy repair are common. A large proportion of women suffer short-term perineal pain and up to 20% have longer-term problems (e.g. dyspareunia).1 Other complications involve the removal of suture material, exten...

BACKGROUND The superior hypogastric plexus (SHGP) carries afferents from the viscera of the lower abdomen and pelvis. Neurolytic block of this plexus is used for reducing pain resulting from malignancy in these organs. The ganglion impar (GI) innervats the perineum, distal rectum, anus, distal urethra, vulva, and distal third of the vagina. Different approaches to the ganglion impar neurolysis ...

Submit Manuscript | http://medcraveonline.com Pelvic and perineal pain are common in patients with malignancy of pelvic organs. Neoplastic invasion of neural tissues and infiltration of organs and sphinters results in severe pain whose treatment requires high doses of medications and often results in unsatisfactory pain relief [1]. Ganglion impar neurolysis is a well documented technique to red...

To compare the difference between the extralevator abdominoperineal excision (ELAPE) and abdominal perineal resection (APR) in circum ferencial resection margin (CRM) positive rate, intraoperative perforation (IOP) the incidence of postoperative wound infection, incision infection reoperation rate, surgical indications, operation time, hemorrhage volume, the recurrence rate, postoperative quali...