Document Detail


Early secondary repair of third- and fourth-degree perineal lacerations after outpatient wound preparation.
MedLine Citation:
PMID:  7617365     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Research has shown the feasibility of early secondary repair of third- and fourth-degree perineal laceration dehiscence after a short period of inpatient wound preparation; therefore, we evaluated the feasibility of early closure after outpatient wound preparation. In this case series, 23 patients underwent early repair of third- or fourth-degree perineal laceration after outpatient wound preparation. Twenty-one patients (91%) had a fourth-degree dehiscence, whereas two (9%) had a third-degree dehiscence. We repaired the defects after 4-10 days (mean 7) of outpatient debridement and wound preparation. All repairs were successful (95% confidence interval 85-100%), and no subsequent breakdowns occurred. One patient developed a small rectal-perineal fistula which, after irrigation, closed spontaneously within 3 months. Early repair of third- or fourth-degree dehiscence after outpatient wound debridement and preparation is both practical and effective. Forcing patients to wait the traditional 3-4 months before repairing such defects may be both cruel and unnecessary.
Authors:
A J Arona; L al-Marayati; D A Grimes; C A Ballard
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  86     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1995 Aug 
Date Detail:
Created Date:  1995-08-18     Completed Date:  1995-08-18     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  294-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, University of Southern California School of Medicine, Los Angeles, USA.
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MeSH Terms
Descriptor/Qualifier:
Ambulatory Care*
Debridement / methods
Episiotomy*
Feasibility Studies
Female
Humans
Length of Stay
Perineum / injuries*
Pregnancy
Preoperative Care
Reoperation
Surgical Wound Dehiscence / etiology,  surgery*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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