Abstract
The incidence of anorectal complications following vaginal delivery was studied in 20,500 women. One thousand forty (5 percent) of all normal vaginal deliveries resulted in episiotomy with third- and fourth-degree extension or a fourth-degree perineal tear. Of these fourth-degree lacerations, 101 patients (10 percent) experienced wound disruption after primary repair. Sixty-seven patients (66 percent) experienced wound disruption that required surgical correction. Anorectal complications were anal ulcer, anorectal abscess, sphincteric disruption, and rectovaginal fistula. Surgical correction of these complications resulted in satisfactory outcome.
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Goldberg SM, Gordon PH, Nivatvongs S. Essentials of anorectal surgery. Philadelphia. JB Lippincott, 1980;283:319–27.
Pezim ME, Spencer RJ, Stanhope CR, Beart RW Jr., Ready RL, Ilstrup DM. Sphincter repair for fecal incontinence after obstetrical or iatrogenic injury. Dis Colon Rectum 1987;30:521–5.
Rothenberger DA, Christenson CE, Balcos EG, et al. Endorectal advancement flap for treatment of simple rectovaginal fistula. Dis Colon Rectum 1982;25:297–300.
Fang DT, Nivatvongs S, Vermeulen FD, Herman FN, Goldberg SM, Rothenberger DA. Overlapping sphincteroplasty for acquired anal incontinence. Dis Colon Rectum 1984;27:720–2.
Corman ML. Anal sphincter reconstruction. Surg Clin North Am 1980;60:457–63.
Belt RL Jr., Belt RL. Repair of anorectal vaginal fistula utilizing segmental advancement of the internal sphincter muscle. Dis Colon Rectum 1969;12:99–104.
Parks AF, Allen CL, Frank JD, McPartlin JF. A method of treating post-irradiation rectovaginal fistulas. Br J Surg 1978;65:417–21.
Greenwald JC, Hoexter B. Repair of rectovaginal fistulas. Surg Gynecol Obstet 1978;146:443–5.
Castro AF, Pittman RE. Repair of the incontinent sphincter. Dis Colon Rectum 1978;21:183–7.
Sullivan ES, Corman ML, Devroede G, Rudd WW, Schuster MM. Anal incontinence (symposium). Dis Colon Rectum 1982;25:90–107.
Parks AG, McPartlin JF. Late repair of injuries of the anal sphincter. Proc R Soc Med 1971;64:1187–9.
Slade MS, Goldberg SM, Schottler JL, Balcos EG, Christenson CE. Sphincteroplasty for acquired anal incontinence. Dis Colon Rectum 1977;20:33–5.
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Venkatesh, K.S., Ramanujam, P.S., Larson, D.M. et al. Anorectal complications of vaginal delivery. Dis Colon Rectum 32, 1039–1041 (1989). https://doi.org/10.1007/BF02553877
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DOI: https://doi.org/10.1007/BF02553877