Traumatic Perineal Injury in a 13-Year-Old Female: Case Report and Review of the Literature

Godosis, Dimitrios; Kaselas, Christos; Demiri, Charikleia; Anastasiadis, Kleanthis; Tsiaprazi, Theodora; Spyridakis, Ioannis

doi:10.4081/pr.2019.7993

Cited by 6 publications

(3 citation statements)

References 18 publications

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“…An examination under anesthesia is necessary in all cases as even radiological investigations are not good enough to rule out anorectal and genital injuries. [ 2 12 ] It helps in minimizing the chances of missing an injury. It also helps in deciding the type and extent of surgical intervention; for example, the partial-thickness anorectal injury does not need a colostomy, whereas the full-thickness anorectal injury does.…”

Section: Discussionmentioning

confidence: 99%

The Management of Perineal Trauma in Children

Dandinarasaiah

Radhakrishna

Vepakomma

2022

Journal of Indian Association of Pediatric Surgeons

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Aims: This study aimed to evaluate the outcome of perineal trauma in children and to a define protocol for their management. Methods: It is a retrospective study of children who presented with perineal injury between August 2012 and December 2020. The patients were classified into three groups: Group-1 included children with perineal and genitourinary injuries; Group-2 included patients with perineal and anorectal injuries; and Group-3 included patients with perineal, genitourinary, and anorectal injuries. All patients underwent primary repair. Those with full-thickness anorectal injury underwent an additional covering colostomy, while urethral disruption was initially managed by a diverting suprapubic cystostomy (SPC). Results: A total of 41 patients were studied. Impalement injury ( n = 11; 27%) and sexual abuse ( n = 11; 27%) were the most common mechanisms of injury. Twenty (49%) patients had anorectal injuries with 10 (24%) each of partial-thickness and full-thickness injury. There were 24 (59%) genital injuries and five (12%) urethral injuries. One patient each developed anal and vaginal stenosis, both were managed with dilatation. One patient developed a rectovaginal fistula repaired surgically at a later date. Conclusion: Perineal injuries with resultant anorectal or genital damage require a careful primary survey. Following stabilization, an examination under anesthesia as a set protocol will help determine the treatment strategy. A colostomy is essential in the acute management of severe anorectal injuries to reduce local complications and preserve continence. Urethral injuries may warrant an initial diverting SPC in selected cases.

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Section: Discussionmentioning

confidence: 99%

The Management of Perineal Trauma in Children

Dandinarasaiah

Radhakrishna

Vepakomma

2022

Journal of Indian Association of Pediatric Surgeons

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“…Trauma perineum pada pasien anak merupakan kondisi yang jarang terjadi. Insiden trauma perineum pada anak yaitu 4-6% (Godosis et al, 2019). Salah satu penelitian menunjukkan insiden cedera perineum pada 0,2% dari semua kejadian trauma perineum pada anak dengan usia dibawah 15 tahun (Spitzer et al, 2008).…”

Section: Epidemiologi Ruptur Perineumunclassified

Ruptur Perineum Grade 3A Post Trauma: Laporan Kasus

Hardiyanti

Islamy²,

Sayuti³

2022

JIMI

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Purpose: This study aimed to summarize the general history, physical findings, and treatment of a patient with traumatic perineal tears grade 3A. Research Methodology: A case report from Obstetrics and Gynecology RSUD Abdoel Moeloek Lampung. The subject of this study is a 9-year-old girl, hospitalized in the hospital ward with traumatic perineal tears grade 3A. Result: A 9-year-old girl complaints of vaginal bleeding after an accident 4 hours before hospitalization. On physical examination, in perineum region found vulnus laceratum regio perineum size 4 x 1 cm to external anal sphincter <50%, hymen rupture (+), bleeding and blood clot (+), rectal touch revealed anal sphincter tone (+) decreased, laceration of anal sphincter <50%. The patient was clinically diagnosed with “Traumatic Perineal Tears Grade 3A”. Definitive management is operative to repair lacerations under general anesthesia. Limitations: This case is limited to traumatic perineal tears grade 3A cases which is a rare case in children. Contribution: This article can be helpful in medical education or as a reference in making relevant case reports. Keywords: 1. Traumatic Perineal Tears Grade 3A 2. Pediatrics 3. Operative 4. General Anesthesia

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“…Posterior perineal trauma is an injury to the posterior vaginal wall, perineal muscles or anal sphincter 2,3 . There is considerable variation in the number of reported incidences of perineal trauma between countries, due in part to differences in definitions and reporting practices 4,5,6 . Studies with limited use of episiotomy reported perineal trauma rates requiring suturing between 44% and 79% 7,8,9 , and a recent Cochrane Review found no evidence to support the routine use of episiotomy 10 .…”

Section: Introductionmentioning

confidence: 99%

The Effect of Counter Pressure and Birthball on The Time of The First Stage of Labor and Prevention of Perineal Rupture

Anwar,

Yustiari,

Hasmia Naningsi

et al. 2023

JIK

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Mothers with prolonged labor have a higher risk of bleeding. This study aimed to determine the effect of the counterpressure technique with a birthball on the length of the first stage of perineal rupture. This type of research is quantitative with a quasi-experimental design using an observation form conducted in Kendari City Hospital from May to August 2023. The design used was a two-group-only post-test, with a control group. The study population comprised multiparous mothers in the first active stage. The sample size consisting of 20 who were given the counterpressure technique with birthball, 20 who were only given the counterpressure technique, and 20 who received no treatment. The inclusion criteria were mothers who were willing to become respondents and mothers who gave birth with normal births. The samples were collected using purposive sampling. The t-test was used to determine the differences between the three groups. The results of the difference test in the length of active phase I between the group given the counterpressure technique with birthball (intervention I) and the control group were p-value (0.000). The results of the analysis for the group given the counterpressure technique (Intervention II) with the control group were p-value (0.000). The results of the analysis for the group given the counterpressure technique with birthball (Intervention I) with the counterpressure technique (Intervention II) were p-value (0.759). In Conclusions, Providing counterpressure techniques with a birthball or simply providing counterpressure techniques is effective in reducing the incidence of perineal ruptures.

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Traumatic Perineal Injury in a 13-Year-Old Female: Case Report and Review of the Literature

Cited by 6 publications

References 18 publications

The Management of Perineal Trauma in Children

The Management of Perineal Trauma in Children

Ruptur Perineum Grade 3A Post Trauma: Laporan Kasus

The Effect of Counter Pressure and Birthball on The Time of The First Stage of Labor and Prevention of Perineal Rupture

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