BACKGROUND To compare the postpartum pelvic floor function of women with sutured second-degree perineal lacerations, unsutured second-degree perineal lacerations, and intact perineums. METHODS A prospective cohort of nurse-midwifery patients consented to mapping of genital trauma at birth and an assessment of postpartum pelvic floor outcomes. Women completed validated questionnaires for perin...

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

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...

RESULTS: A total of 56 responses (42% response rate) were received from Burn Unit Directors in the US and Canada. A total of 133 lacerations were reported for the prior 5 years. The overall incidence of dermatome-induced lacerations was calculated at 0.1% per year (1.3 per 1,000 cases). The most common causes were excessive pressure with the dermatome (25.7%) and patient-related factors (18.9%)...

Abnormal postpartum hemorrhage is a common problem, complicating 3-5% of vaginal and operative deliveries. In majority cases (98%) uterine atony, retained placenta or genital tract lacerations are responsible for excessive blood loss. However, occasionally, serious coagulopathy may occur early after delivery in specific circumstances such as with placental abruption. Also, when bleeding caused ...

Although obstetrically related trauma remains the most common cause of injury to the female genital tract, trauma of nonobstetric origin is not uncommon. Reports of traumatic injuries to the vagina, especially lacerations, have been infrequent in the literature and offer only a generalized approach to this problem. Severe vaginal lacerations may result in life-threatening blood loss. The author...