scholarly journals Association of lower degree perineal lacerations at delivery and occult injury of levator ani muscles

2022 ◽  
Vol 226 (1) ◽  
pp. S340-S341
Author(s):  
Tom Gregory ◽  
Alison G. Cahill ◽  
Candice Woolfolk ◽  
Lily A. Arya ◽  
Jerry L. Lowder ◽  
...  
2013 ◽  
Vol 70 (7) ◽  
pp. 399-402
Author(s):  
Olivier Pittet ◽  
Nicolas Demartines ◽  
Dieter Hahnloser

Anale Schmerzen sind häufig in der Proktologie. Eine detaillierte Anamnese der Schmerzen und die klinische Untersuchung führen meistens zur Diagnose und damit zur unmittelbaren Therapie. Die akute Perianalvenenthrombose soll innerhalb 72 Stunden exzidiert werden. Akute Analfissuren werden konservativ mit Stuhlregulation und sphinktertonus-senkender Medikation sehr erfolgreich therapiert. Die chronische Analfissur muss meistens operiert werden. Perinalabaszesse können häufig in Lokalanästhesie abgedeckelt werden. Die proctalgia fugax und das levator ani syndrome sind Auschlussdiagnosen und werden symptomatisch therapiert.


Author(s):  
Stefan Krause ◽  
Markus Appel

Abstract. Two experiments examined the influence of stories on recipients’ self-perceptions. Extending prior theory and research, our focus was on assimilation effects (i.e., changes in self-perception in line with a protagonist’s traits) as well as on contrast effects (i.e., changes in self-perception in contrast to a protagonist’s traits). In Experiment 1 ( N = 113), implicit and explicit conscientiousness were assessed after participants read a story about either a diligent or a negligent student. Moderation analyses showed that highly transported participants and participants with lower counterarguing scores assimilate the depicted traits of a story protagonist, as indicated by explicit, self-reported conscientiousness ratings. Participants, who were more critical toward a story (i.e., higher counterarguing) and with a lower degree of transportation, showed contrast effects. In Experiment 2 ( N = 103), we manipulated transportation and counterarguing, but we could not identify an effect on participants’ self-ascribed level of conscientiousness. A mini meta-analysis across both experiments revealed significant positive overall associations between transportation and counterarguing on the one hand and story-consistent self-reported conscientiousness on the other hand.


2011 ◽  
Vol 215 (S 01) ◽  
Author(s):  
A Falkert ◽  
A Willmann ◽  
E Endreß ◽  
P Meint ◽  
B Seelbach-Göbel
Keyword(s):  

2018 ◽  
Vol 1 (2) ◽  
pp. 103-110
Author(s):  
M. Rizkar Arev Sukarsa ◽  
◽  
Bharata Yudha ◽  
Tita Husnitawati Madjid ◽  
Jusuf Sulaeman Effendi ◽  
...  
Keyword(s):  

Author(s):  
R. Pooniya ◽  
D. K. Jhamb ◽  
R. Saini ◽  
Satveer K. Kumar ◽  
S. K. Sharma

Rectovaginal lacerations in the mare occur during parturition when the foal’s limb(s) or head are forced caudal and dorsal. The injury is seen predominantly in primiparous mares and is usually due to violent expulsive efforts by the mare (Colbern et al., 1985; Turner and McIlwraith, 1989). The injury is also seen following forced extraction of a large fetus or extraction before full dilation of the birth canal. Third-degree perineal lacerations occur when there is tearing through the rectovaginal septum, the musculature of the rectum and vagina, and the perineal body.


2019 ◽  
Vol 9 (5) ◽  
pp. 20190027 ◽  
Author(s):  
Dulce Oliveira ◽  
Maria Vila Pouca ◽  
João Ferreira ◽  
Teresa Mascarenhas

Childbirth-related injuries are one of the main causes of pelvic floor dysfunction. To attempt to avoid serious tears during delivery, an episiotomy can be performed. In this study, we intended to investigate the biomechanical performance of the pelvic floor muscles after performing different episiotomies using a physics-based computational model which includes the pelvic floor muscles and the fetus. Previous biomechanical studies have analysed the mechanical effects of single incisions of different lengths; in this study, we intend to analyse the implications of multiple small incisions, evaluating the reaction forces, the stress on the muscles and the loss of tissue integrity sustained by the pelvic floor. The obtained results predict that an episiotomy delivery reduces the likelihood of macroscopic levator trauma by decreasing the stress on the region of insertion of the rectal area of the levator ani in the symphysis pubis . From the mechanical point of view, multiple incisions do not bring benefits compared to larger incisions. However, nothing can be ascertained about the clinical benefit of such an approach.


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