perineal

Perineal observed in rigid tissues, especially in older nulliparous, with a high crotch, there is scarring, childbirth large fruit, fast delivery, extensor previa head, vaginal obstetric operations. Diagnosis is based on the inspection results with vaginal mirrors.

Treatment. mucosal breaks sutured under local infiltration anesthesia. Perineal II and especially III level best to sew under the pudendal anesthesia 0.25% solution of novocaine. Producing stitching in a particular sequence in accordance with the anatomical features of the pelvic floor muscles and perineal tissues. Perineal III level should sew experienced doctor, fluent in operative technique.

Prevention is the proper conduct of delivery and careful implementation of obstetric operations. With the threat of perineal peritoneotomiya needed.