The rectus abdominis is a workhorse flap for perineal reconstruction, in particular after abdominoperineal resection (APR). Laparoscopic and robotic techniques for abdominoperineal surgery are becoming more common. The open harvest of the rectus abdominis negates the advantages of these minimally invasive approaches. (Sentence relating to advantages of laparoscopic rectus deleted here.) We pres...

Aim. The aim of this paper is to investigate if the insertion of the pelvic drainage tube via the perineal wound could be considered as an independent risk factor for perineal healing disorders, after abdominoperineal resection for rectal malignancy. Patients and Methods. The last two decades, 75 patients underwent elective abdominoperineal resection for malignancy. In 42 patients (56%), the pe...

Retrospective analysis of third degree perineal lacerations in 7 female camels (6-17 yrs of age) that were surgically corrected by one stage repair (Goetz technique) is presented. Majority (3/7) of the camels was primiparous and all parturitions had a history of calving assistance. Six (6/7) camels recovered by first intention of healing. Dehiscence of perineal structure occurred in only one ca...

OBJECTIVE To study the role of perineal sonography in the diagnosis of an ectopic ureteric opening into the urethra. METHODS In this study, carried out over about 4 years, perineal sonography was done to look for a ureter opening ectopically into the urethra in patients for whom abdominal sonography showed the ureter descending below and beyond the urinary bladder. RESULTS Perineal sonograp...

INTRODUCTION Documentation and billing for laceration repair involves a description of wound length. We designed this study to test the hypothesis that emergency department (ED) personnel can accurately estimate wound lengths without the aid of a measuring device. METHODS This was a single-center prospective observational study performed in an academic ED. Seven wounds of varying lengths were...

Intercostal artery laceration is an unusual complication following thoracentesis, and has been reported only in elderly patients. We report a case of a 78-year-old man who developed a massive hemothorax following thoracentesis. Post-thoracentesis radiograph revealed a substantial increase in pleural fluid, and emergency chest tube insertion identified the hemothorax. He underwent right thoracot...

ABSTRAK Kematian ibu di Provinsi Jawa Tengah tahun 2019 mengalami penurunan dibandingkan 2018, dengan AKI sebesar 76,93/100.000 kelahiran hidup sebanyak 416 kasus. Laserasi perineum merupakan salah satu penyebab perdarahan postpartum. Berdasarkan data yang diperoleh dari Puskesmas Margasari terdapat 232 (30%) total persalinan 775 kasus laserasi selama 2019. Tujuan penelitian ini adalah untuk me...