SavedAdd your journal

Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2022 / Cilt: 28 - Sayı: 3

Isolated recto-vaginal septum injury during parturition: Single-center experience

Fatih Altintoprak
Kayhan Ozdemir
Hilal Uslu Yuvaci
Muhammet Burak Kamburoğlu
Baris Mantoglu
Emre Gönüll
Necattin Firat
Emrah Akin
Pages
302–307
Publication Date
2022-11-06
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

For birth-related rectal injuries detected early in appropriate patients, a primary repair without diversion stoma may be the

📌 3 Key Takeaways

🎯
Objective & Hypothesis:BACKGROUND: Traumatic rectal injuries are uncommon and can originate due to various causes.
📊
Key Findings & Data:METHODS: The records of spontaneous vaginal deliveries that resulted in live births between January 2015 and January 2020 were analyzed retrospectively at our center.
💡
Conclusion & Impact:For birth-related rectal injuries detected early in appropriate patients, a primary repair without diversion stoma may be the
🔬Design:Review & Systematic Survey
📍Scope:2015 Verileri
⚙️Variables:Domain Parameters

Abstract

BACKGROUND: Traumatic rectal injuries are uncommon and can originate due to various causes. Rectal injuries have a high mor- bidity, regardless of cause, and detection at the time of occurrence is important to prevent fistula formation and/or stoma. In this article, treatment approaches in patients with isolated rectovaginal septum injury without perineal and sphincter injury during sponta- neous vaginal delivery are presented and the current literature is reviewed. METHODS: The records of spontaneous vaginal deliveries that resulted in live births between January 2015 and January 2020 were analyzed retrospectively at our center. The records of patients with isolated rectovaginal septum injury were evaluated in terms of demographic and obstetric data, trauma, classification of injury, and early and late results. RESULTS: Isolated septum injuries were detected 12 women (0.06%). Of the isolated rectovaginal septum injuries, 9 (75%) were clas- sified as Type III, 2 (16.6%) as Type IV, and 1 (8.3%) as a Type V injury according to the Rosenshein classification. Transvaginal repair was performed because all of the injuries underwent early surgical intervention, were limited, and exploration through the vagina was possible. CONCLUSION: Rectal examination should be performed simultaneously with a detailed perineal examination after vaginal delivery. For birth-related rectal injuries detected early in appropriate patients, a primary repair without diversion stoma may be the

🔖

Cite This Article

Altintoprak, F., Ozdemir, K., Yuvaci, H. U., Kamburoğlu, M. B., Mantoglu, B., Gönüll, E., Firat, N., Akin, E. (2022). Isolated recto-vaginal septum injury during parturition: Single-center experience. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 28 - Sayı: 3, 302–307. https://ajindex.com/articles/643977

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (17)

  1. Plummer JM, McDonald AH, Newnham, McFarlane ME. Civillian rec- tal trauma: The surgical challenge. West Indian Med J 2004;53:382–6
  2. Burch JM. Injury to the colon and rectum. In: Mattox KL, Felicianco DV, Moore EE, editors. Trauma. New York: McGraw-Hill; 1999. p. 763–82
  3. Shatnawi NJ, Bani-Hani KE. Manage-ment of civilian extraperitoneal rectal injuries. Asian J Surg 2006;29:11–6
  4. Ahem DP, Kelly ME, Courtney D, Rausa E, Winter DC. The manage- ment of penetrating rectal and anal trauma: A systematic review. Injury 2017;48:1133–8
  5. Simhan S, Krohn M, Heine RP. Obstetric rectal injury: Risk factors and the role pf physician experience. J Matern Fetal Neonatal Med 2004;16:271–4
  6. Moore EE, Cogbill TH, Malagoni MA, Jurkovich GJ, Champion HR, Gennarelli TA, et al. Organ injury scaling, II: Pancreas, duodenum, small bowel, colon, and rectum. J Trauma 1990;30:1427–9
  7. Pinta TM, Kylanpaa ML, Salmi TK, Teramo KA, Luukkonen PS. Pri- mary sphincter repair: Are the results of the operation good enough? Dis Colon Rectum 2004;47:18–23
  8. Mackenzie N, Parry L, Tasker M, Gowland MR, Michie HR, Hobbiss JH. Anal function following third degree tears. Colorectal Dis 2004;6:92–6
  9. Williams A, Tincello DG, White S, Adams EJ, Alfirevic Z, Richmond DH. Risk scoring system for prediction of obstetric anal sphincter injury. BJOG 2005;112:1066–9
  10. Rosenshein NB, Genadry RR, Woodruff JD. An anatomic classification of rectovaginal septal defect. Am J Obstet Gynecol 1980;137:439–42
  11. Morrel B, Flu PK, Straub MY, Vierhout ME. Isolated rectal lesions during parturition. Acta Obstet Gynecol Scand 1996;75:495–7
  12. Menzlova E, Zahumensky J, Gürlich R, Kucera E. Rectal injury following delivery as a possible consequence of endometriosis of the rectovaginal septum. Int J Gynaecol Obstet 2014;124:85–6
  13. Shaaban KA. An isolated rectovaginal tear as a complication of vacuum delivery. J Obstet Gynacol 2008;28:106
  14. Nelly MR. Rupture of the rectovaginal septum at parturition. Br Med J 1956;2:1288
  15. Grillo-Ardila CF, Bautista-Charry AA, Diosa-Restrepo M. Breech pre- sentation delivery care: A review of childbirth semiology, mechanism and care. Rev Colomb Obstet Ginecol 2019;70:253–65
  16. Sun W, Liu F, Liu S, Gratton SM, El-Chaar D, Wen SW, Chen D. Com- parison of outcomes between induction of labor and spontaneous labor for term breech-a systemic review and meta analysis. Eur J Obstet Gyne- col Reprod Biol 2018;222:155–60
  17. Loria FL. Historical aspect of pene