Isolated rectal buttonhole tears in obstetrics: case series and review of the literature.

ABSTRACT:

Introduction and hypothesis

The management of isolated rectal buttonhole tears is not standardised and can be challenging in an acute obstetric setting. Our aim was to review the published literature and describe management and repair techniques in a case series.

Methods

A literature search was carried out. All results were screened and reviewed. Rectal buttonhole tears following vaginal delivery between April 2012 and January 2020 in our institution were identified. Repair technique and post-operative management were recorded.

Results

There were nine published case reports (four instrumental deliveries, two vaginal breech and three normal vaginal deliveries). Four case reports described a two-layer closure and five described a three-layer closure. Two cases were repa

SUBMITTER: Roper JC 

PROVIDER: S-EPMC8295104 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature