What is old perineal laceration, and how should it be managed?
Mar 18, 2024
Source: Cainiu Health
Dr. Zhao Xiaodong
Introduction
Old perineal laceration may be caused by trauma, childbirth, inflammatory stimulation, episiotomy, or anal sphincter relaxation. It is recommended to seek medical attention promptly. Improvement can be achieved through general management, physical therapy, medication, and other methods as directed by a healthcare provider. Specific recommendations are as follows: In daily life, one should ensure adequate rest, maintain sufficient sleep, and avoid staying up late.
Old perineal laceration may be caused by trauma, childbirth, inflammatory irritation, episiotomy, anal sphincter relaxation, or other reasons. It is recommended to seek medical attention promptly. The condition can be improved through general management, physical therapy, medication, or other methods as directed by a physician. Specific causes are analyzed as follows:
1. Trauma: If the perineal area has experienced external impact, it may lead to local skin injury. If not treated timely, old lacerations may develop. Patients can use povidone-iodine solution under medical guidance for disinfection to prevent infection.
2. Childbirth: During delivery, a large fetus may cause tearing of the perineal tissue. If not properly managed, this may result in the aforementioned condition. Applying warm compresses can help improve local blood circulation and tissue repair, thereby relieving pain and discomfort.
3. Inflammatory irritation: Poor personal hygiene after childbirth may lead to inflammation in the perineal area, accompanied by skin or mucosal tearing. Under medical supervision, patients may use medications such as amoxicillin capsules, cefuroxime sodium for injection, or mupirocin ointment for treatment.
4. Episiotomy: During childbirth, if the fetus is large or the mother’s perineum is particularly tight, an episiotomy may be performed, which could contribute to the development of old lacerations. When necessary, patients may receive surgical treatment via episiotomy as directed by a physician.
5. Anal sphincter relaxation: A large fetus may cause relaxation of the anal sphincter during delivery, leading to old perineal lacerations. Patients can perform anal lift exercises (Kegel exercises) to enhance movement of local muscles and ligaments, promote blood circulation, and achieve some degree of recovery.
In daily life, adequate rest and sufficient sleep should be ensured. Avoid staying up late, and engage appropriately in outdoor activities such as walking or calisthenics, which may aid in recovery.
