Experiences in the reconstruction of untreated severe obstetrical injuries including anal sphincter injuries.

OBJECTIVE

Summarize information on reconstruction possibilities of extensive obstetrical injuries including anal sphincter injuries.

METHODS

Review of available information on the possibilities of reconstruction of severe obstetrical injuries including anal sphincter and comparison with own results in the developing countries.

CONCLUSION

Extensive obstetrical injuries of the perineum are major problem that require adequate and early treatment. In the developing countries, perineum dehiscence and the subsequent development of anal incontinence occur much more often. Even after several years, however, there is hope for an improvement in the condition if an adequate suture is performed.