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dc.contributor.authorSantoso, Budi I.-
dc.contributor.authorChan, Nadir-
dc.contributor.authorLeonardo, Leonardo-
dc.date.accessioned2022-08-09T16:19:52Z-
dc.date.available2022-08-09T16:19:52Z-
dc.date.issued2019-07-
dc.identifier.urihttp://localhost:8080/xmlui/handle/123456789/2391-
dc.description.abstractOld Perineal Rupture: From Diagnosis to Reparation 2 Ruptur Perineum Lama: Diagnosis sampai Perbaikan Budi I. Santoso 1 1 , Nadir Chan 2 , Leonardo Department of Obstetrics and Gynecology Faculty of Medicine Universitas Indonesia Dr. Cipto Mangunkusumo General Hospital Department of Obstetrics and Gynecology YPK Mandiri Hospital Jakarta Objective : To describe and discuss the technique to diagnose, preparing the reparation and postoperative management in old perineal rupture case. Methods : A 28-year-old primipara woman was referred to YPK Mandiri Hospital after having incontinence to fl atus, to urinate and passive soiling. Three months before admission, she had her fi rst child through vaginal delivery. Discussion : She was diagnosed with a third-degree obstetric anal sphincter injury (OASIS). Rectal examination with digital palpation (pill-rolling motion) and ultrasound examination, revealed a distinct gap anteriorly (10 – 2 o'clock). End to end technique was preferred to repair the defect. Conclusions : A good understanding of perineal and anal sphincter anatomy is essential to diagnose OASIS. The aim of reconstructive surgery is to restore the continuity of both the external and internal anal sphincters. Ideally, the repair should be performed as soon as possible after the injury. Keywords : obstetric anal sphincter injuries, OASIS, thirddegree tear, perineum, perineal trauma. Abstrak 1 Old Perineal Rupture 238 Tujuan : Untuk mendeskripsikan dan diskusi tentang tehnik dalam mendiagnosa, mempersiapkan operasi reparasi dan manajemen pascaoperasi pada kasus ruptur perineum lama. Metode : Sebuah laporan kasus yang diambil dari pasien perempuan 28 tahun primipara yang dirujuk ke RS YPK Mandiri setelah mengeluhkan inkontinensia fl atus, urin, dan keluarnya feses tanpa disadari. Tiga bulan sebelumnya, pasien melahirkan anak pertama melalui persalinan pervaginam. Diskusi : Diagnosis pasien adalah cedera sfi ngter ani obstetrik derajat tiga. Pemeriksaan rektal dengan palpasi digital (gerakan pill-rolling) dan pemeriksaan ultrasonografi , memperlihatkan adanya penipisan di daerah anterior (arah jam 10 – 2). Teknik end to end dipilih untuk memperbaiki defek. Kesimpulan : Pengetahuan yang baik mengenai anatomi perineum dan sfi ngter ani penting untuk mendiagnosis OASIS. Tujuan utama dari operasi rekonstruksi adalah untuk memperbaiki kontinuitas dari sfi ngter ani eksternal dan internal. Idealnya, reparasi dilakukan secepat mungkin setelah terjadinya cedera. Kata kunci : cedera sfi ngter ani obstetrik, OASIS, perineum, trauma perineum, robekan derajat tiga.en_US
dc.subjectobstetric anal sphincter injuriesen_US
dc.subjectOASISen_US
dc.subjectthirddegree tearen_US
dc.subjectperineum, perineumen_US
dc.subjectperineal traumaen_US
dc.titleOld Perineal Rupture: From Diagnosis to Reparationen_US
dc.typeArticleen_US
Appears in Collections:1. Indonesian Journal Of Obstetrics and Gynecology (INAJOG)

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