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Vulvar and Vaginal Trauma and Bartholin Gland Disorders
Published in Botros Rizk, A. Mostafa Borahay, Abdel Maguid Ramzy, Clinical Diagnosis and Management of Gynecologic Emergencies, 2020
Malak El Sabeh, Mostafa A. Borahay
Worldwide, the most common cause of genital trauma is obstetric injury that usually occurs during vaginal deliveries. Nonobstetric vulvar and vaginal trauma is relatively uncommon due to their anatomic location. Such trauma includes blunt injuries, consensual and nonconsensual intercourse, female genital mutilation, and, less commonly, burn injuries. The extent of the injuries varies from minor bruising and lacerations that may not require any medical or surgical interventions to severe life-threatening complications requiring emergent care.
Labour and birth care
Published in Helen Baston, Midwifery, 2020
As the advocate for woman and facilitator of spontaneous birth, the midwife aims to avoid the use of interventions that are not evidence based. There are many interventions that were routinely practised in the belief that they had a beneficial impact on maternal health. For example, in the past, it was believed that routine episiotomy would protect the woman from severe vaginal trauma; however, systematic reviews of the evidence has now disputed the efficacy of such practice, as it does not reduce perineal pain, incontinence or painful intercourse (Jiang et al. 2017).
Gynaecological disorders in children
Published in Brice Antao, S Irish Michael, Anthony Lander, S Rothenberg MD Steven, Succeeding in Paediatric Surgery Examinations, 2017
Lisa M Allen, Rachel F Spitzer
From the list of options above, choose which one is the most appropriate therapy in each of the clinical scenarios. Each option may be used once, more than once, or not at all. A 5-year-old girl with vaginal bleeding following a fall on the crossbar of a bicycle. A 5-year-old girl with vaginal bleeding following a fall on an upturned chair leg. The hymen is not visible on examination.A 5-year-old girl with vaginal bleeding following a fall in the playground on a piece of gym equipment. A 4-year-old girl with recurrent brown vaginal discharge, vaginal spotting and odour, despite previous treatment with an oral antibiotic. Examination reveals a normal hymen and no vaginal trauma.A 4-year-old girl with a 4-day history of profuse vaginal discharge. Examination reveals a normal hymen, vaginal discharge is visible, erythema of vulva and lower vagina is evident. Medical history is significant for a recent upper respiratory tract infection.
Spontaneous vaginal cuff dehiscence with evisceration in a woman with vaginal vault prolapse long after hysterectomy: a case report
Published in Journal of Obstetrics and Gynaecology, 2023
Lu Jiang, Peng Jia, Baofeng Duan, Zixuan Yang, Yan Zhang
The vaginal cuff comprises the reconstructed pericervical ring during hysterectomy. Vaginal cuff dehiscence (VCD) serves as an emergency complication of hysterectomy, with the potential for evisceration and additional morbidity (Nezhat et al. 2018). Most VCD occurs shortly after a hysterectomy with vaginal trauma, such as coitus and falling down (Hur et al.2007). Even though extremely rare, there is still a risk of VCD long after hysterectomy, particularly for postmenopausal women with vault prolapse, which is often ignored by gynaecologists. Early Identification of high-risk individuals and offering prompt treatments can reduce the prevalence of late-onset VCD.
Vaginal evisceration after transvaginal instrumental gravid uterus perforation: general surgeons beware
Published in Journal of Obstetrics and Gynaecology, 2021
TVGE following vacuum-assisted abortion or delivery is very rare with only few cases currently in the literature. Vaginal evisceration has previously been reported in postmenopausal women with vaginal surgery or hysterectomy, chronic pelvic prolapse, prolapse repair and other forms of pelvic surgery and following coitus, vaginal trauma and vaginal instrumentation in premenopausal women (Rajesh et al. 2008). Our case was premenopausal, primipar patient and had no history of previous surgery, obstetric instrumentation as vacuum-assisted evacuation of incomplete abortion was the reason of anteroinferior perforation of the uterus.