Anal trauma blunt and penetrating injuries to the perineum can cause disruption of the anal sphincter and can have substantial morbidity because of the high rate of concurrent pelvic injury particularly pelvic fracture in blunt trauma victims it is imperative that orderly evaluation and resuscitation be undertaken at the initiation of care beginning with the primary survey to identify and . Perineal trauma during childbirth is common in fig 14712 there is a thickened scar between the probe and the index finger image indicating a normal perineal body but injured anal sphincter some patients have very thin perineal bodies or near cloacal defects ultrasound images of cloacal defects show images of the index finger within . Perineal and anal sphincter trauma is a comprehensive text that focuses on the maternal morbidity associated with childbirth in recognition of the longstanding global diversity in obstetric practice and the management of its sequelae the authors have compiled the ultimate evidence based book that includes the diagnosis pathophysiology management and prevention of obstetric trauma. The most common long term problems are dyspareunia perineal pain and flatal and faecal incontinence 31 in fact oasi are strong risk factors for postponed coital resumption after delivery and dyspareunia at one year postpartum 32 however anal sphincter competence remains the biggest concern as flatal incontinence can be present even 10
How it works:
1. Register Trial Account.
2. Download The Books as you like ( Personal use )