INTRODUCTION Perineal hernia may be a long-term complication to conventional abdominoperineal resection or proctocolectomy. We analysed the incidence of post-operative perineal hernia repair and described patient-reported outcome measures (PROMS) after perineal hernia repair. METHODS This was a nationwide retrospective analysis of consecutive Danish patients undergoing conventional abdominope...

BACKGROUND Suturing of perineal trauma after childbirth can cause problems such as pain, discomfort because of tight sutures, the need for suture removal, and dyspareunia. It is unclear whether leaving the perineal skin unsutured or using skin adhesives might prevent these problems. METHODS CENTRAL, MEDLINE, EMBASE, CINAHL, and prospective trial registers until January 2013 were searched for ...

OBJECTIVES To compare the maternal and neonatal outcomes between perineal shaving and hair cutting in parturients on admission in labor MATERIAL AND METHOD Five hundred pregnant women with labor pain and no medical or obstetric complications were selected at random on admission to be assigned into two groups at Rajavithi Hospital from 1st November 2001 to 28th February 2002. Forty two women w...

BACKGROUND Perineal warm packs are widely used during childbirth in the belief that they reduce perineal trauma and increase comfort during late second stage of labor. The aim of this study was to determine the effects of applying warm packs to the perineum on perineal trauma and maternal comfort during the late second stage of labor. METHODS A randomized controlled trial was undertaken. In t...

BACKGROUND Episiotomy is the surgical enlargement of the vaginal orifice by an incision of the perineum during the second stage of labor or just before delivery of the baby. During the 1970s, it was common to perform an episiotomy for almost all women having their first delivery, ostensibly for prevention of severe perineum tears and easier subsequent repair. However, there are no data availabl...

Evidence-Based Answer Antenatal digital perineal massage in the final month of pregnancy is safe and well tolerated. Women who have not had a previous vaginal delivery and perform digital perineal massage in the final month of pregnancy experience less perineal birth trauma, mostly through fewer episiotomies, than those who have not performed massage. Women who have had a previous vaginal deliv...

INTRODUCTION Perineal pain is the most common complaint after episiotomy. It imposes extra pressure on mothers who attempt to adapt to their new conditions. Therefore, the present study was performed to compare pain severity and perineal repair in two episiotomy repair methods. METHODS In this clinical trial, 100 primiparous women who referred to hospitals of Tabriz (Iran) for delivery were r...

Aim: This study aimed to assess the effects of prenatal Perineal Massage and Kegel exercise on the episiotomy rate. Subjects and Methods: Randomize controlled trial was carried out at Antenatal Outpatient Clinic and Labour and Delivery Ward at El Mansoura University Hospital, Egypt. This study comprised a random study sample of180 pregnant mothers out of randomized 225was recruited for this stu...

OBJECTIVE This randomized double-blinded control trial was conducted to compare the effectiveness of tramodol and placebo rectal suppository for the management of postpartum perineal pain after perineorrhaphy. MATERIAL AND METHOD One hundred women who gave birth vaginally with episiotomy and a second- or third-degree tear, were randomly assign to receive two tablets oftramadol 50 mg or two ta...

54-year female presented with a lesion on her left buttock and perineum for approximately 18 months prior to seeking evaluation. It has grown gradually over this period of time. She constipation, perineal bleeding, pain, weight loss twenty pounds. CT abdomen pelvis showed large mass in the extending into anus enlarged lymph nodes. PET intensely hypermetabolic involving anal canal, mildly FDG av...