introduction: significant perineal injuries and major pelvic fractures resulting from blunt trauma manifest a high-energy injury. open pelvic fractures (with perineal injury) are associated with higher mortality rates of 40 to 60 %. methods: this study was a review of patients with multiple traumas comprising of major pelvic fracture and severe perineal injuries (shahid kamyab hospital in mashh...

CONTEXT AND OBJECTIVE Despite all the medical care provided during delivery labor, perineal injury is still prevalent and may lead to diverse pelvic floor disorders. The aim here was to investigate the prevalence of obstetric and anal sphincter injuries (OASIS) in healthy pregnant women after vaginal delivery. DESIGN AND SETTING Cross-sectional study involving 3,034 patients with singletons i...

BACKGROUND Whether certain birth positions are associated with perineal injuries and severe perineal trauma (SPT) is still unclear. The objective of this study was to describe the prevalence of perineal injuries of different severity in a low-risk population of women who planned to give birth at home and to compare the prevalence of perineal injuries, SPT and episiotomy in different birth posit...

OBJECTIVE To describe pattern 1 injuries caused by the antipersonnel improvised explosive device (AP-IED) in comparison to those previously described for antipersonnel mines (APM). DESIGN Prospective cohort study of 100 consecutive pedestrian victims of an AP-IED, with traumatic amputation without regard for gender, nationality or military status. SETTING Multinational Medical Unit at Kanda...

BACKGROUND The main causes of death in patients with open pelviperineal injuries are uncontrollable bleeding and pelvic sepsis. The aim of this study was to evaluate the management outcomes of open pelvic fractures associated with extensive perineal injuries. METHODS We retrospectively studied 15 cases with open pelvic fractures associated with extensive perineal injuries (urethral and anal c...

More than 85% of women in the United Kingdom (UK) sustain some form of perineal trauma during childbirth1. In the majority of instances, only the perineal skin, vaginal epithelium and superficial muscles are involved, and such tears are only rarely associated with serious sequelae. Tears involving the anal sphincter, however, can have long-term impact on a woman’s quality of life. Sultan2 origi...

Vaginal injuries following perineal trauma are relatively rare. Vaginal evisceration is even rarer accounting for less than 1% of all trauma to the perineum [1]. These injuries are associated with minimal symptoms and signs. Perineal or lower abdominal pain with vaginal bleeding are the common complaints and investigations such as erect abdominal x-ray or abdominal ultra-sonography may not demo...

OBJECTIVE To evaluate the prevalence of obstetrical anal sphincter injuries (OASIS), which include third and fourth degree perineal tears in primigravida in routine versus selective mediolateral episiotomy. Secondly, to determine the rate of episiotomy in local settings. METHODS This randomized control trial was carried out in the labor ward of a tertiary hospital of the Universiti Kebangsaan...