Perineal reconstruction surgery and suture of the sphincter due to traumatic tear

The article was professionally consulted with Specialist Doctor II Pham Thi Tuyet Mai - Obstetrician and Gynecologist - Department of Obstetrics and Gynecology - Vinmec Hai Phong International General Hospital.

After giving birth, the perineum is dilated, or torn, causing loss of private beauty as well as decreased sex quality, affecting family happiness. Therefore, cosmetic methods to help beautify the perineum are a trend that many people are interested in.

The perineum is the tissue between the anus and the vagina that is about 3 to 5 cm long. The perineum plays an important role in a woman's childbirth process. This set is stretchable to help bring the baby out of the uterus during labor. Most of the time, when giving birth vaginally, women often have an incision or tear in the perineum to make it easier for the newborn to get through. For women who have a good body, after being stretched, the perineum will automatically shrink over time.
There are cases of vaginal birth without episiotomy. However, there are also people who give birth naturally, the vagina is dilated, the vaginal canal sphincter is broken, torn, and the perineum is traumatized, which not only affects the aesthetics of the private area but also causes deterioration. sexual quality.
Perineal reconstruction surgery is the procedure of choice for many people. Perineal and anal sphincter reconstruction surgery is a method of suturing the perineum and anal sphincter according to the anatomy that was torn during vaginal delivery.

An episiotomy is a simple minor surgery that takes about 30 minutes. However, this is an invasive procedure, requiring a highly qualified doctor and good surgical conditions to avoid possible complications. This procedure has certain advantages and disadvantages, you need to learn carefully and consult your doctor before deciding.
Advantages: Simple minor surgery, you will be injected with local anesthetic so you will not feel pain, the perineal tear is taken care of after surgery to help women regain their confidence and increase pleasure. sexual feelings. Cons: More or less cutlery intervention has certain effects on health, if the doctor does not do well, it will also make the private area not as beautiful as you want. Complications may occur after surgery such as bleeding, infection, ...

Stage 1: Skin incision
The doctor uses a knife to make an arc cut above the border between the anus and the vagina about 15-25 mm, from the two sides, the incision is straight into the vagina to form a trapezoid, the top is round. The right and left edges of the incision are cut down near the lateral anal surface to be able to separate into the lateral anal fossa to find the two broken muscles of the anal sphincter portal. Stage 2: Dissect the vaginal mucosa to the front of the upper anal levator muscle and the broken end of the lower anal ring,
3: Stitch the anal sphincter with two U-shaped stitches.
then 4. : Cut a piece of vaginal mucosa and suture the posterior perineum
Sew the inner and deep margins of the two bundles of levator anal muscle with non-absorbable sutures Sew the vaginal mucosa from the top down. Suture of subcutaneous tissue and perineal fascia The final strengthening stitch penetrates from the skin through the subcutaneous tissue to the two ends of the broken sphincter, increasing the strength of the anal sphincter. In short, perineal reconstruction surgery is a simple procedure that helps restore the dilated and torn perineum during childbirth, improves the aesthetics of the private area, as well as helps women get interest and confidence in sex again. However, any invasive procedure has certain disadvantages. Women need to consider and learn about reputable medical facilities to ensure safety and effectiveness when performing this procedure.