Rectal Buttonhole Tear Following Operative Vaginal Delivery
Background & aim: A rectal buttonhole tear during childbirth is an isolated laceration of rectal mucosa and vagina without involvement of anal sphincter that its management is challenging in obstetrics. The aim of this study was to report a case of rectal buttonhole tear following operative vagi...
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| Format: | Article |
| Language: | English |
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Mashhad University of Medical Sciences
2022-07-01
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| Series: | Journal of Midwifery & Reproductive Health |
| Subjects: | |
| Online Access: | https://jmrh.mums.ac.ir/article_20579_a195171e23235b832de92e8c22e15619.pdf |
| _version_ | 1818023610764230656 |
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| author | Atiyeh Vatanchi Leila Pourali Asieh Maleki Maede Khosravi Shima Hatami |
| author_facet | Atiyeh Vatanchi Leila Pourali Asieh Maleki Maede Khosravi Shima Hatami |
| author_sort | Atiyeh Vatanchi |
| collection | DOAJ |
| description | Background & aim: A rectal buttonhole tear during childbirth is an isolated laceration of rectal mucosa and vagina without involvement of anal sphincter that its management is challenging in obstetrics. The aim of this study was to report a case of rectal buttonhole tear following operative vaginal delivery.Case report: A 31-year-old primigravid woman was admitted to the Maternity ward of a teaching hospital of Mashhad University of Medical Sciences for pregnancy termination. The patient underwent an induction of labor. She had a successful assisted vaginal delivery with vacuum. A Rectal buttonhole tear was found in in the rectovaginal septum, which was repaired immediately after delivery in operation room. Six weeks’ follow-up visit showed a completely cured laceration and the patient reported no complaints of fecal incontinence or foul discharge.Conclusion: Rectal examination before and after suturing perineal tears following vacuum extraction can help the diagnosis of isolated laceration. Accurate evaluation and using the optimal surgical techniques are the main points to achieve the best results. |
| first_indexed | 2024-12-10T03:47:04Z |
| format | Article |
| id | doaj.art-ac7e92fdc91d4c2d96f5a58c927241db |
| institution | Directory Open Access Journal |
| issn | 2345-4792 |
| language | English |
| last_indexed | 2024-12-10T03:47:04Z |
| publishDate | 2022-07-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Journal of Midwifery & Reproductive Health |
| spelling | doaj.art-ac7e92fdc91d4c2d96f5a58c927241db2022-12-22T02:03:23ZengMashhad University of Medical SciencesJournal of Midwifery & Reproductive Health2345-47922022-07-011033429343310.22038/jmrh.2022.65536.191020579Rectal Buttonhole Tear Following Operative Vaginal DeliveryAtiyeh Vatanchi0Leila Pourali1Asieh Maleki2Maede Khosravi3Shima Hatami4Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranAssociate Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranAssistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranResident, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranResident, Department of Obstetrics and Gynecology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, IranBackground & aim: A rectal buttonhole tear during childbirth is an isolated laceration of rectal mucosa and vagina without involvement of anal sphincter that its management is challenging in obstetrics. The aim of this study was to report a case of rectal buttonhole tear following operative vaginal delivery.Case report: A 31-year-old primigravid woman was admitted to the Maternity ward of a teaching hospital of Mashhad University of Medical Sciences for pregnancy termination. The patient underwent an induction of labor. She had a successful assisted vaginal delivery with vacuum. A Rectal buttonhole tear was found in in the rectovaginal septum, which was repaired immediately after delivery in operation room. Six weeks’ follow-up visit showed a completely cured laceration and the patient reported no complaints of fecal incontinence or foul discharge.Conclusion: Rectal examination before and after suturing perineal tears following vacuum extraction can help the diagnosis of isolated laceration. Accurate evaluation and using the optimal surgical techniques are the main points to achieve the best results.https://jmrh.mums.ac.ir/article_20579_a195171e23235b832de92e8c22e15619.pdfdigital rectal examinationsvacuum extraction delivery obstetric deliveryobstetric labor complication |
| spellingShingle | Atiyeh Vatanchi Leila Pourali Asieh Maleki Maede Khosravi Shima Hatami Rectal Buttonhole Tear Following Operative Vaginal Delivery Journal of Midwifery & Reproductive Health digital rectal examinations vacuum extraction delivery obstetric delivery obstetric labor complication |
| title | Rectal Buttonhole Tear Following Operative Vaginal Delivery |
| title_full | Rectal Buttonhole Tear Following Operative Vaginal Delivery |
| title_fullStr | Rectal Buttonhole Tear Following Operative Vaginal Delivery |
| title_full_unstemmed | Rectal Buttonhole Tear Following Operative Vaginal Delivery |
| title_short | Rectal Buttonhole Tear Following Operative Vaginal Delivery |
| title_sort | rectal buttonhole tear following operative vaginal delivery |
| topic | digital rectal examinations vacuum extraction delivery obstetric delivery obstetric labor complication |
| url | https://jmrh.mums.ac.ir/article_20579_a195171e23235b832de92e8c22e15619.pdf |
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