Obstetric Lesions: The Gynaecologist’s Point of View

  • Eddie H. M. Sze
  • Maria Ciarleglio


Data from the obstetrical literature show that about 0.4-3.7% of all vaginal deliveries result in a thirdor fourth-degree perineal laceration [1, 2]. Rarely, the reported incidence can go as high as 20–39% [3, 4]. When a third- or fourth-degree perineal laceration occurs during vaginal delivery, the standard repair is to approximate the torn ends of the anal sphincter using two to six interrupted mattress or figure-of-eight stitches and close the vaginal and perineal tissues in layers. Postpartum, the patient is typically put on a soft diet and given a stool softener for 7–10 days. This method of repair is described in the latest edition of Williams Obstetrics [5], the newest edition of [6], and numerous other obstetrical textbooks.


Obstet Gynecol Fecal Incontinence Anal Sphincter Vaginal Delivery Internal Anal Sphincter 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Italia 2007

Authors and Affiliations

  • Eddie H. M. Sze
  • Maria Ciarleglio

There are no affiliations available

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