LA EPISIOTOMIA COMBINADA CON PARTO QUIRURGICO VAGINAL AUMENTARIA EL RIESGO DE RUPTURA DEL ESFINTER

LA EPISIOTOMIA COMBINADA CON PARTO QUIRURGICO VAGINAL AUMENTARIA EL RIESGO DE RUPTURA DEL ESFINTER

(especial para SIIC © Derechos reservados)
Algunos estudios observacionales sugieren que la episiotomía mediolateral debe ser el método preferido para reducir la incidencia de traumatismo perineal grave cuando se utilizan instrumentos -especialmente fórceps- en los partos quirúrgicos vaginales. Las episotomías de la línea media deben evitarse combinadas con partos quirúrgicos vaginales ya que parecen aumentar sustancialmente el riesgo de ruptura del esfínter.
Autor:
h Mastoroudes
Columnista Experto de SIIC

Institución:
Worthing Hospital


Artículos publicados por h Mastoroudes
Coautores
M. Gorti* G. Hudelist** 
Worthing Hospital, Worthing, Reino Unido*
Villach Medical Center, Villach, Austria**
Recepción del artículo
16 de Abril, 2007
Aprobación
31 de Julio, 2007
Primera edición
8 de Octubre, 2008
Segunda edición, ampliada y corregida
7 de Junio, 2021

Resumen
Los desgarros perineales de tercer grado son una complicación importante en el parto por vía vaginal y son más frecuentes en los partos quirúrgicos vaginales. Varios estudios han comunicado sobre los factores de riesgo relacionados con traumatismo perineal grave y sus complicaciones como incontinencia fecal y urinaria. Dentro de esto, sigue siendo controvertido el papel, la realización y el tipo de episiotomía, especialmente cuando se combinan con partos quirúrgicos vaginales. Si bien las episiotomías de la línea media y laterales se realizan habitualmente combinadas con partos quirúrgicos vaginales, su papel en la prevención de traumatismo perineal grave en estos partos sigue siendo poco claro. Para dilucidar el impacto de la episiotomía de la línea media y mediolateral juntamente con los partos quirúrgicos vaginales, esta revisión se concentra en los riesgos y beneficios potenciales de estos tipos de episiotomía y su papel en estos partos.

Palabras clave
episiotomía, lesión perineal, incontinencia fecal, incontinencia urinaria, trauma perineal


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Abstract
Third degree perineal tears are a major complication in vaginal childbirth and are more frequent in vaginal operative deliveries (VOD). Several studies have reported on risk factors associated with severe perineal trauma and its complications such as fecal and urinary incontinence. Within this, the role performance and type of episiotomy remains controversial, especially if combined with VOD. Although midline and mediolateral episiotomies are commonly performed in combination with VOD, their role for prevention of severe perineal trauma in VOD is still unclear. In order to elucidate the impact of midline and mediolateral episiotomy in conjunction with VOD, the present review focuses on the potential risks and benefits of these episiotomy types and their role in VOD.

Key words
episiotomy, perineal injury, fecal incontinence, urinary incontinence, perineal trauma


Full text
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Clasificación en siicsalud
Artículos originales > Expertos del Mundo >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Obstetricia y Ginecología
Relacionadas: Cirugía



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Enviar correspondencia a:
Gernot Hudelist, Worthing Hospital Department of Obstetrics and Gynaecology, BN11 2DH, Lyndhurst Road, Worthing, Reino Unido
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Clasificado en
Artículos originales>
Expertos del Mundo

Especialidad principal:
Obstetricia y Ginecología


Relacionadas:
Cirugía
 
 
 
 
 
 
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