Management of fourth degree obstetric perineal tear without colostomy using non - stimulated gracilis - our experience over eleven years.

ABSTRACT:

Background

Although gracilis muscle transposition for faecal incontinence has been well-described method, its literature for use in obstetric perineal tear without colostomy is sparse. In this study, we have tried to analyse its use in fourth-degree obstetric perineal tears.

Patients and methods

A total of 30 patients with recto-vaginal fistula with faecal incontinence secondary to obstetric perineal tear were retrospectively studied between February 2003 and May 2014. The recto-vaginal fistula was explored, dissected and identification of sphincters was done using muscle stimulator. Fistula closure was done followed by sphincter repair, vaginal tightening procedure and single gracilis transposition. None of the patients had covering colostomy. Faecal incontinence was assess

SUBMITTER: Kulkarni J 

PROVIDER: S-EPMC4878240 | biostudies-literature | 2016 Jan-Apr

REPOSITORIES: biostudies-literature