Perineal Wound Research Articles

PENGARUH PEMBERIAN JUS BUAH NANAS TERHADAP PENYEMBUHAN LUKA PERINEUM DERAJAT 2 PADA IBU POST PARTUM

Perineal tears are those that happen there. when the baby is born spontaneously or episiotomy. If the perineal tear is not treated immediately, infection will occur and delay wound healing. Infection ranks as the fourth highest cause of the Maternal Mortality Rate (MMR). Efforts are being made to prevent infection and accelerate wound healing with alternative medicine by giving pineapple which is processed into pineapple juice. Pineapple contains the enzyme beromelain where this enzyme aims to heal all wounds, both perineal wounds. This study aims to determine the effect of giving pineapple juice on the healing of 2nd degree women with postpartum perineal wounds at the Tanjung Pratama Clinic, Deli Tua District, Deli Serdang Regency. This study used a quasi-experimental study type with a group design pretest posttest. The population in this study was postpartum women who experiencand ed perineal tears Using the technique of purposive sampling, around 16 people were sampled. Data analysis using the Wilcoxon test. Prior analysis results being given the average value of perineal wound healing was 6.13 (50%) while the average perineal wound healing after being given an average value of 0.38 (81.3%) obtained a p value = 0.000 0.05. this means that giving pineapple juice has a healing effect on perineal wounds.

Postoperative Oral Care Pathways Are Not Required at the Time of Buccal Mucosa Harvest

Purpose: For patients undergoing urethroplasty with buccal mucosa grafting, the impact of oral care pathways on infection and pain control remains unstudied. We hypothesize that the elimination of dietary restrictions and mouthwash regimens from the oral care pathway would not alter the rate of donor site complications. Materials and Methods: One hundred urethroplasty cases using buccal mucosa were retrospectively reviewed for donor site and perineal wound complications. No preoperative or intraoperative antibiotic oral cleanses were used in any case. Records were categorized by use of postoperative dietary restrictions and mouthwash regimens. Graft harvest size, preexisting oral issues, baseline comorbidities, dental assessments, perioperative antibiotics, and postoperative pain control regimens were accounted for. Results: Forty patients were included in the oral care pathway and 60 in the nonoral care pathway. Baseline demographics, dental assessment, and graft harvest details were similar between groups. There were no cases of graft site infection, with a median follow-up of 226 days. All graft site issues resolved in 3 to 4 weeks or less. Perineal wound infections for oral care pathway 2 (5%), and no oral care pathway 4 (6.7%), P = .6. Urinary tract infections for oral care pathway 7 (17.5%), and no oral care pathway 2 (3.3%), P = .027. Conclusions: Postoperative oral complications remain low without the use of oral cleanses, dietary restrictions, or mouthwash regimens. Routine use of donor site care pathways is likely unnecessary in this patient population.

Studi Kasus: Asuhan Kebidanan Menggunakan Telur Ayam Kampung Dan Telur Ayam Boiler Terhadap Luka Perineum

e causes of maternal death in Indonesia in 2019 were still dominated by bleeding (1,280 cases), hypertension (1,066 cases), infection (207 cases). One of the risk factors for perineal infection is prolonged healing of perineal wounds. Research to measure the effect of giving broiler chicken eggs on the healing of perineal wounds in postpartum mothers. This research method is to use a case study to introduce the administration of boiled free-range chicken eggs and boiled chicken boiler eggs for perineal wounds in postpartum mothers. This activity was carried out on two postpartum mothers who were in the PMB Midwife K area on July 3 2023-July 14 2023 and each postpartum mother was given the intervention of providing boiled free-range chicken eggs and boiler chicken eggs. The results of this research are that postpartum mothers who were given free-range chicken egg intervention experienced a significant decrease, namely with a score of 1, compared to postpartum mothers who were given free-range chicken egg intervention, namely with a score of 3. Researchers are expected to be able to use the intervention of giving free-range chicken eggs and by providing boiled chicken eggs as a form of intervention that helps reduce perineal wounds in postpartum mothers.

Persistent perineal sinus following proctocolectomy in the inflammatory bowel disease patient.

Prolonged perineal wound healing following proctocolectomy in patients with inflammatory bowel disease (IBD) is a frustrating result for the medical team and patients who were hoping for improved quality of life. Prolonged healing, which lasts more than 6 months following proctocolectomy, is termed persistent perineal sinus (PPS) and typically necessitates further surgical management. Healing of the PPS is difficult due to the resulting "dead space" following proctocolectomy, necessitating the need to fill the void with viable tissue in an area with anatomic constraints. Here we provide a narrative review and comprehensively address the incidence, pathogenesis, and clinical and operative management of a PPS in patients with IBD following proctocolectomy. Operative methods discussed include surgical debridement, flap closure of the perineum, omental flap closure, and gracilis muscle transposition. It is necessary to further investigate and establish a gold standard of care for these patients.

The Influence of Channa Striata and Ananas Comosus Floss on Perineal Wound Healing at Aji Batara Agung Dewa Sakti Hospital Samboja

A perineal wound is one of the predisposing factors for puerperal infection. This form of infection varies and is localized, resulting in sepsis and death during the puerperium. One of the risk factors for perineal infection is prolonged perineal wound healing. Channa Striata is one of the fish that contains more nutrients and protein than other types of fish, so consumption of Channa Striata can be used as a type of nutrition to accelerate wound healing. Then in Ananas comosus, you can find a phytochemical content in the form of bromelain, which functions as an anti-inflammatory so that it can prevent wound infection. To determine the effectiveness of Channa Striata and Ananas Comosus shredded on perineal wound healing in postpartum mothers. This research is included in quasi-experimental research with a one-group pretest-posttest design approach. The population is postpartum mothers who experience perineal rupture from either natural injuries or episiotomy wounds at Aji Batara Agung Dewa Sakti Hospital Samboja. The sampling technique uses purposive sampling of as many as 17 people. As a result of the study, this influence exists between Channa Striata and Ananas Comosus Floss in healing perineal wounds (p value = 0.025) with value α = 0.05.Research results show that Channa Striata and Ananas Comosus Floss can help speed up the healing process of perineal wounds. From the research results, Channa Striata and Ananas Comosus shredded can be used as an alternative for perineal wound healing

A comparison of surgical techniques for perineal wound closure following perineal excision: a systematic review and network meta-analysis.

To mitigate pelvic wound issues following perineal excision of rectal or anal cancer, a number of techniques have been suggested as an alternative to primary closure. These methods include the use of a biological/dual mesh, omentoplasty, muscle flap, and/or pelvic peritoneum closure. The aim of this network analysis was to compare all the available surgical techniques used in the attempt tomitigate issues associated with an empty pelvis. An electronic systematic search using MEDLINE databases (PubMed), EMBASE, and Web of Science was performed (Last date of research was March 15th, 2023). Studies comparing at least two of the aforementioned surgical techniques for perineal wound reconstruction during abdominoperineal resection, pelvic exenteration, or extra levator abdominoperineal excision were included. The incidence of primary healing, complication, and/or reintervention for perineal wound were evaluated. In addition, the overall incidence of perineal hernia was assessed. Forty-five observational studies and five randomized controlled trials were eligible for inclusion reporting on 146,398 patients. All the surgical techniques had a comparable risk ratio (RR) in terms of primary outcomes. The pooled network analysis showed a lower RR for perineal wound infection when comparing primary closure (RR 0.53; Crl 0.33, 0.89) to muscle flap. The perineal wound dehiscence RR was lower when comparing both omentoplasty (RR 0.59; Crl 0.38, 0.95) and primary closure (RR 0.58; Crl 0.46, 0.77) to muscle flap. Surgical options for perineal wound closure have evolved significantly over the last few decades. There remains no clear consensus on the "best" option, and tailoring to the individual remains a critical factor.

Ileus conditions after rectal and Hartmann's resections.

Bowel obstruction is one of the most common postoperative complications in pelvic surgery. In most cases, adhesive mechanical ileus of the small bowel is the cause. In procedures such as Hartmann's resection or abdominoperineal rectal resection, it seems that the large wound area on the pelvic walls and pelvic floor and the dead space after the removed rectum with mesorectum contribute to the ileus condition. The aim of this paper was to identify the risk factors for ileus after selected pelvic procedures and to map the possible ways of prevention and treatment of these complications. We performed retrospective simple analysis of a set of 98 patients who underwent elective abdominoperineal resection of the rectum, pelvic exenteration or Hartmann's resection for rectal cancer between 2017-2022. Postoperative complications were recorded, especially bowel obstruction, and perineal wound or rectal stump healing complications. In all 9 patients, who needed reoperation, we searched for risk factors for ileus known from the literature. We also described the management of ileus. In the group of 9 patients subjected to detailed analysis, 8 risk factors were most common: male gender, obesity, history of radiotherapy, open surgery, requirement of adhesiolysis in primary surgery, large blood loss, difficult dissection, and impaired healing of the rectal stump/perineum. A total of 8 (88.9%) patients had a combination of 4 or more of the mentioned risk factors. Our results confirm the impact of risk factors known from the literature; furthermore, they indicate a connection with the formation of a dead space in the pelvis and with complications of the rectal stump or perineal wound healing. Some of the risk factors cannot be changed, and current preventive measures cannot completely prevent the formation of adhesions. It is therefore advisable to look for other materials and methods that would ideally limit the formation of adhesions and at the same time fill the dead space and thus separate it from the perineal wound.

The Effect of Consumption of Red Ginger Extract on the Pain Scale Intensity of Perineal Laceration Wounds in Postpartum Mothers in the Working Area of Jalancagak Health Center, Subang Regency, Indonesia

Red ginger can be used as a natural ingredient in making potions used to treat perineal wounds. This study aimed to determine the effect of the consumption of red ginger extract on the intensity of the pain scale for perineal laceration wounds in postpartum mothers in the working area of Jalancagak Health Center, Subang Regency, Indonesia. This study is a quasi-experimental design with a pretest and post-test with a control group research design. This study used two groups, namely a control group and an intervention group. The pain scale was measured before (pretest) in the intervention and control groups and after (posttest) in the control and intervention groups. The intervention group was given red ginger extract and still received standard management procedures in the form of analgesics, while the control group was only given standard management procedures. A total of 30 research subjects took part in this study and were grouped into a control group and an intervention group. Administration of red ginger extract showed the potential to reduce pain intensity statistically significantly, p<0.05. Similar results were also shown in the control group, where placebo administration was able to reduce pain intensity statistically significantly, p<0.05. The reduction in pain intensity was more optimal in the treatment group compared to the control group, p<0.05. In conclusion, there is an effect of the consumption of red ginger extract on the intensity of the pain scale for perineal laceration wounds in postpartum mothers in the working area of Jalancagak Health Center, Subang Regency, Indonesia.

Perineal resuturing versus conservative treatment for dehisced perineal wounds and episiotomies: a systematic review and meta-analysis.

Perineal wound dehiscence is associated with complications, such as infections, perineal pain, dyspareunia, and altered sexual function, that severely affects women's health. Currently, few studies have examined secondary repair of first- and second-degree perineal wound dehiscence and episiotomies, and there is currently no consensus on the optimal treatment option for dehisced perineal wounds. The objective was to evaluate whether resuturing or conservative treatment of first- and second-degree dehisced perineal wounds and episiotomies is the optimal treatment modality in terms of postoperative healing time and other secondary outcomes. A systematic literature search was carried out using PubMed, Embase, and Cochrane databases. All included studies were evaluated using the SIGN methodology checklist, with the purpose of assessing the study quality. Three randomized controlled trials were included. Only two small sample-sized studies presented data regarding healing time for both the resuturing and the conservative treatment groups. However, no significant difference was found between the two groups at 4-6 weeks' healing time (RR 1.16, 95% CI 0.53-2.52). One study found that women being resutured experienced a significantly reduced healing time and higher satisfaction with the appearance of the wound healing at 3 months compared with the conservative treatment group. We found no significant differences in the healing time between the resuturing group and the conservative treatment group. However, the sample sizes of the studies were small. A well-designed, large, and prospective randomized controlled trial is needed to evaluate the optimal treatment modality for dehisced perineal wounds.

Pengaruh Pemberian VCO Terhadap Penyembuhan Luka Perineum Pada Ibu Nifas di PMB Sri Suparti

Background: In Indonesia perineal lacerations are experienced by 75% of women giving birth vaginally due to spontaneous tearing. This can cause bleeding to not be stopped properly or infection to occur. To prevent infection of perineal wounds, perineal wound care can be done using virgin coconut oil (VCO) which has properties as an antiseptic, anti-infection and can reduce pain and provide comfort. Objective: To determine the effect of VCO administration on perineal wound healing in normal postpartum women at PMB Sri Suparti Karanganyar. Research method: The type of research used is quasi-experimental research. The research design used the post test only with control group design method with 30 samples, 15 were given VCO and 15 were not given VCO by processing the data using Mann Whitney. The results of the study: The results of the data analysis test with Mann Whitney obtained a value of p = 0.001, with a significant level of p <0.05 which means that there is an effect of VCO administration on perineal wound healing in normal postpartum mothers. Conclusion: There is an effect of VCO administration on perineal wound healing in normal postpartum women at PMB Sri Suparti Karanganyar.

Pengaruh Pemberian VCO Terhadap Penyembuhan Luka Perineum Pada Ibu Nifas Di Rumah Sakit Ibu Dan Anak Kasih Fatimah Kotamobagu

Background: The postpartum period is a very complex period experienced by a woman, especially for those who have given birth for the first time. The problem that we often encounter in the early postpartum period is the discomfort of mothers breastfeeding their babies because they are bothered by the presence of stitches for mothers who experience perineal lacerations. Objective: to determine the effect of VCO administration on perineal wound healing in postpartum women at Hospital Mother and Child Kasih Fatima Kotamobagu Methods: Quasi experimental design with post-test only with nonequivalent groups with Mann-Whitney test with 34 respondents and divided into 2 groups of cases and controls Results: Based on the statistical test output, it is known that the Asymp Sig (2-tailed) value is 0.000 <0.05, so it can be concluded that the hypothesis is accepted. Thus it can be said that there is an effect of VCO administration on perineal wounds with perineal wound healing. Conclusion: There is an effect of giving VCO with healing perineal wounds in postpartum women at RSIA Kasih Fatimah Kotamobagu, with this research it is hoped that VCO administration can be applied by health workers for wound healing, especially pernieal wounds.

THE EFFECTIVENESS OF RED BETEL LEAF AND ALOE VERA IN THE TREATMENT OF PERINEAL WOUNDS: LITERATURE REVIEW

Treatment of perineal wounds in postpartum women can be done by pharmacological and non-pharmacological methods, namely through complementary therapy with the use of herbs, which is betel leaf and aloe vera that have anti-inflammatory, anti-septic, anti-fungal and antibacterial effects. The purpose of this study was to determine the effectiveness of red betel leaf and aloe vera in the treatment of perineal wounds. This study uses a Literature Review, journal searches using Medline, PubMed, Tandfonline and Google Scholar databases for the last ten years. Analysis of the data used is descriptive statistics. Some literature discusses the treatment of perineal wounds using red betel leaf and aloe vera and has been shown to be effective in the perineum wound healing process in post artum mothers with an average length of healing that is faster than treatment without the intervention of red betel leaf and aloe vera. Conclusion, red betel leaf and aloe vera can be applied in the treatment of perineal wounds in postpartum.

Effect of differing flap reconstruction strategies in perineal closure following advanced pelvic oncological resection: a retrospective cohort study.

Advancing approaches to locally invasive pelvic malignancy creates a large tissue defect resulting in perineal wound complications, dehiscence, and perineal hernia. Use of reconstructive flaps such as vertical rectus abdominus myocutaneous (VRAM) flap, gracilis, anterolateral thigh and gluteal flaps have been utilised in our institution to address perineal closure. The authors compared outcomes using different flap techniques along with primary perineal closure in advanced pelvic oncological resection. A prospectively maintained database of patients undergoing advanced pelvic oncological resection in a single tertiary hospital was retrospectively analysed. This study included consecutive patients between 2014 and 2021 according to the Strengthening The Reporting of Cohort Studies in Surgery (STROCSS) criteria. Primary outcome measures were the frequency of postoperative perineal complications between primary closure, VRAM, gluteal and thigh (anterolateral thigh and gracilis) reconstruction. One hundred twenty-two patients underwent advanced pelvic resection with perineal closure. Of these, 40 patients underwent extra-levator abdominoperineal resection, and 70 patients underwent pelvic exenteration. Sixty-four patients received reconstructive flap closure, which included VRAM (22), gluteal (21) and thigh flaps (19). Perineal infection and dehiscence rates were low. Infection rates were lower in the flap group despite a higher rate of radiotherapy ( P <0.050). Reoperation rates were infrequent (<10%) but specific for each flap, such as donor-site hernia following VRAM and flap dehiscence after thigh flap reconstruction. In patients who are at high risk of postoperative perineal infections, reconstructive flap closure offers acceptable outcomes. VRAM, gluteal and thigh flaps offer comparable outcomes and can be tailored to the individual patient.

An audit of time to healing in patients with surgical perineal wounds with and without negative pressure wound therapy

An audit of time to healing in patients with surgical perineal wounds with and without negative pressure wound therapy

Azithromycin to Prevent Sepsis of Death in Women Planning a Vaginal Birth

ABSTRACT A high proportion of peripartum maternal deaths are caused by infection and sepsis, and this proportion continues to rise. In addition, neonatal sepsis is the third most common cause of neonatal death; the 2 conditions are connected in that maternal infection causes an increased risk of neonatal sepsis. Recent studies have shown azithromycin to be effective in reducing instances of maternal infection after an unplanned cesarean delivery, but its effectiveness for infections related to vaginal delivery has not yet been examined. This study, A-PLUS (Azithromycin Prevention in Labor Use Study), was designed to investigate the effectiveness of azithromycin in women planning a vaginal delivery. This study was conducted as a multicountry, double-blind, placebo-controlled, randomized trial over 8 sites in 7 countries. Primary outcomes included maternal sepsis or death within 6 weeks of delivery, as well as stillbirth, neonatal death, or sepsis within 4 weeks of delivery. Secondary maternal outcomes included related components, such as specific infections of chorioamnionitis, endometritis, perineal wound infection, abdominal or pelvic abscess, mastitis or breast abscess, pneumonia, or pyelonephritis, as well as therapeutic use of antibiotics, duration of hospital stay, readmission, admission to a special care unit, and unscheduled health care visits. Secondary outcomes relating to neonates included similar components, specific infection, the duration of hospital stay, readmission, admission to a special care unit, unscheduled health care visits, and safety outcomes (adverse events related to medication). Final analysis included 29,278 women, with 14,590 women (and 14,687 neonates or stillbirths) in the azithromycin group and 14,688 women (and 14,782 neonates or stillbirths) in the placebo group. Maternal sepsis or death was observed in 227 patients in the azithromycin group and 344 patients in the placebo group (adjusted relative risk, 0.67; 95% confidence interval [CI], 0.56–0.79; P &lt; 0.001). Sepsis was the case in 219 in the azithromycin group and 339 in the placebo group (relative risk, 0.65; 95% CI, 0.55–0.77), and death from sepsis was rare. For neonates, stillbirth, death, or sepsis was observed in 1540 in the azithromycin group and 1526 in the placebo group (relative risk, 1.02; 95% CI, 0.95–1.09), with sepsis accounting for 1433 and 1407 cases in the azithromycin and placebo groups, respectively. Both the outcomes of stillbirth and neonatal death were relatively uncommon. Maternal adverse effects experienced from the medication were not significantly different between groups, and the azithromycin group had noticeably reduced risk of endometritis, wound infections, and several others when compared with the placebo group. These results indicate that azithromycin is consistently effective in lowering the risk of infection and sepsis in mothers and infants during vaginal delivery. The number treated to prevent 1 case of maternal death or sepsis was 125; this is consistent with previous research in individuals undergoing cesarean delivery. Although azithromycin was effective at preventing maternal infection and sepsis, there were no significant effects on neonatal outcomes. This is consistent with most previous research; reasons for discrepancies could be inclusion of different types of infections and differences in antibiotic treatment between countries. Further research could improve the generalizability of these findings by focusing on factors that influence the effectiveness of azithromycin and that impact its clinical use.

Readmission for Morbidities among Postpartum Women in a Tertiary Hospital of Kathmandu

Background: Postpartum period is a critical stage where the majority of the maternal mortality occurs. Major obstetric morbidities during this period include postpartum haemorrhage, puerperal pyrexia, and sepsis, and pregnancy induced hypertension. The objective of this study was to find out the morbidities in postpartum women readmitted following discharge from the hospital after delivery. Methods: It was conducted as a hospital-based descriptive study at Paropakar Maternity and Women’s Hospital (PMWH), Thapathali, Kathmandu. Ethical clearance was obtained from Institutional Review Board (IRB) of National Academy of Medical Sciences (NAMS). The total population enumeration technique was used to collect the data for a period of three months. A Standard Performa containing socio demographic characteristics, causes of readmission, complications during pregnancy, time interval of readmission and outcome of readmission was prepared which include relevant points according to the objective of the study. Data analysis was done using the Statistical Package for Social Sciences 16. Descriptive statistics (frequency, percent, mean, standard deviation and range) were used to analyse the data. Results: The incidence of postpartum readmission was 1.0% of total deliveries with 58 women being readmitted. More than two-fifth (29, 43.9%) were readmitted due to abdominal and perineal wound infections followed by urinary tract infections (8, 12.1%). Hypertension, puerperal pyrexia, secondary postpartum haemorrhage were other conditions requiring readmission in postpartum period. Conclusion: The study concluded that the women were readmitted during their postpartum period for multiple causes, wound infection being the most common. The quality of postnatal care including proper examination before discharge is necessary to ensure reduction in the readmission rate.

Green Betel Leaf Gel (Piper betle) as an Alternative to Perineal Wound Healing in Postpartum Mothers

Perineal wounds are tears that occur when the baby is born either spontaneously or by using a tool or action. Administration of amoxicillin and mefenamic acid as pharmacological treatment is not enough for perineal wound healing. An alternative way to heal perineal wounds is using green betel leaf gel, which has the advantage of cold gel properties, so it can reduce pain. The gel has benefits as an anti-inflammatory, antioxidant, antiseptic, and antibacterial, so it can be used as a perineal wound treatment that can help accelerate perineal wound healing. This study aimed to prove the administration of green betel leaf gel (Piper betle) effect on perineal wound healing in postpartum mothers. This study is a quasy experiment with a pretest and posttest with a control group design. Through the technique of purposive sampling, it was found that 32 respondents were divided into two groups, the control group with clean, dry wound care and the intervention group, which was given green betel leaf gel twice a day for 7 days as measured using the REEDA score. Green betel leaf gel is effective for perineal wound healing on the 7th day compared to dry clean treatment.

Short- and mid-term outcomes of abdominoperineal resection with perineal mesh insertion: a single-centre experience.

Abdominoperineal resection (APR) remains a key procedure for the treatment of low rectal/anorectal cancers. However, perineal wound closure remains challenging, particularly in extralevator abdominoperineal resection (ELAPR) due to gapped tissue planes. Different approaches have been attempted to improve perineal wound repair. The aim of this study is to report our 6-year experience in perineal wound closure utilising biological mesh. We conducted a retrospective study using data from our prospectively maintained database, including patients who underwent APR with perineal mesh closure between 2016 and 2021. 49 patients underwent APR with perineal mesh reconstruction for low rectal cancer during the 6-year period. Of these, 63% were males, with a mean age of 68 (± 11), and a mean BMI of 27.9 (± 13.7). 49% (24) of patients received neoadjuvant therapy. 88% (43) of patients underwent standard "S-APR" and only 12% (6) underwent ELAPR. Majority of procedures were laparoscopic (87.8%) with conversion rate of 6.9%. Mean length of stay was 11.7 (± 11.6). The perineal wound infection rate was 30% and only two patient required mesh removal due to entero-cutaneous perineal fistula and pelvic abscess. Perineal hernia was found in only two patients (4.1%). CRM was negative in 81.6% of the patients. Mean follow-up period was 29.2 (± 16.5) months, and disease recurrence occurred in 9 (18.3%) patients with average number of months for recurrence of21 (± 7). Overall survival during the follow-up period was 91%. Our series shows a favourable short- and medium-term outcome with routine insertion of mesh for perineal wound closure.

Purse string closure of perineal defects after abdominoperineal excision.

The aim of this study was to describe a new technique of perineal closure following abdominoperineal excision (APE) using purse-string perineal skin closure (PSPC). Between January 2016 and May 2021, 15 consecutives patients who had an APE procedure were included in this retrospective single-center study. All indications of APE were considered, as well as all types of APE. We analyzed the patient characteristics and peri-operative features, including overall (Clavien 1 to 5) and severe (Clavien 3 and 4) postoperative morbidity, length of stay (LOS), and long-term results (median time to perineal wound closure and rate of perineal incisional hernia). The patients included 11 men and four women, with a mean age of 64 ± 13 [33-80] years. The indication of APE was an epidermoid carcinoma of the anal canal (n = 5) or an adenocarcinoma of the rectum (n = 10). The mean operating time was 220 ± 88.64 [70-360] min. The overall morbidity rate was 60%, the severe morbidity rate 26%, and reoperation rate 26%. The median length of stay was 9 ± 6.5days. After a mean follow-up of 23.5 ± 20.3months, the median time to perineal wound closure was 96 ± 60days, the persistent perineal sinus rate was 6% (n = 2), and one patient developed a perineal incisional hernia. Purse-string closure of perineal wounds is a safe and effective technique for perineal wound closure after APE. The short LOS allowed an early return home.

Daun Sirih Merah Sebagai Perawatan Tradisional Dalam Penyembuhan Luka Perineum

Perineal tears can occur during labor. This tear causes an injury. This situation can be an entry point for microorganisms that can cause infection if not treated properly. The wound-healing process varies from person to person. However, there are several ways to treat perineal wounds are traditional and non-traditional. This study aimed to determine the perineal wound healing period with red betel leaves. Quasi-experimental research with a posttest-only design approach with non-equivalent groups. In this study, 22 postpartum mothers, the experimental group using red betel leaves, and the control group using clean-dry dressing treatment, which would assess the wound healing process with the REEDA scale. The sampling technique uses accidental sampling. The data analysis used is an independent-Sample T-test. The results, perineal wounds using red betel leaves (5.45 days) were two days faster than dry clean treatment (7.55 days). The REEDA sign was no longer visible in the red betel leaf group on the eighth day. It was still possible to see the control group on the ninth day. Moreover, proper wound care, a healthy diet, and good hygiene contribute to wound healing. Mothers should be confident in their abilities and think positively.