Early repair of an external sphincter ani muscle and rectal mucosal dehiscence

John C. Hauth, Larry C. Gilstrap, Stephen C. Ward, Gary D.V. Hankins

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Little information is available to assist in the management of a dehiscence subsequent to a fourth degree episiotomy repair. Delayed repair of the external sphincter ani muscle and rectal mucosa may result in weeks or months of disability and inconvenience for these women. A series of eight women is presented whose fourth degree episiotomy repair dehiscence was managed by early puerperal repair. The details of wound and bowel preparation, the operative technique, and postoperative care are described. Because all eight women had a successful repair, the authors believe that early surgical correction is an acceptable treatment for this puerperal complication. (C) 1986 The American College of Obstetricians and Gynecologists.

Original languageEnglish (US)
Pages (from-to)806-809
Number of pages4
JournalObstetrics and gynecology
Issue number6
StatePublished - Jun 1986

ASJC Scopus subject areas

  • Obstetrics and Gynecology


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