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 


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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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