RESUMEN
Neonatal injuries produced during the childbirth or in the maneuvers of resuscitation they have a high morbidity and suppose the 8th reason of mortality in newborns. The aim of this article is to check our casuistry in the last 10 years and to present a case report of rectovaginal tear with the possible therapeutic options published in the literature. There were gathered a total of 8 perinatal neonatal injuries, being the majority of them clause-contused (5) in hairy leather, pinna and thorax. Other cases were affecting the perine: an anal tear and two rectovaginal tears; one of these patients needed colostomy and surgical repair of the perine. Only a small percentage of the perinatal neonatal injuries are valued by the paediatric surgeon. Some of them are serious and can have important consequences. The colostomy and primary or secondary closing is a therapeutic sure option in rectovaginal tears.
Asunto(s)
Traumatismos del Nacimiento , Traumatismo Múltiple , Recto/lesiones , Vagina/lesiones , Traumatismos del Nacimiento/cirugía , Femenino , Humanos , Recién Nacido , Traumatismo Múltiple/cirugía , Recto/cirugía , Vagina/cirugíaRESUMEN
Las lesiones neonatales producidas durante el parto o en las maniobras de reanimación tienen una alta morbilidad y suponen la 8ª causa de mortalidad en recién nacidos. El objetivo de este artículo es revisar nuestra casuística en los últimos 10 años y presentar un caso clínico de desgarro rectovaginal, revisando las posibles opciones terapéuticas publicadas en la literatura .Se recogieron un total de 8 lesiones neonatales perinatales, siendo la mayoría de ellas heridas inciso-contusas (5) en cuero cabelludo, pabellón auricular y tórax. Los demás casos afectaban al periné: un desgarro anal y dos desgarros rectovaginales. En el caso clínico presentado, el periné fue reparado de forma primaria, realizándose posteriormente una colostomía y perineo plastia por dehiscencia. Solo un pequeño porcentaje de las lesiones neonatales perinatales son valoradas por el cirujano pediátrico. Algunas de ellas son graves y pueden tener importantes consecuencias. La colostomía y cierre primario o secundario es una opción terapéutica segura en desgarros rectovaginales (AU)
Neonatal injuries produced during the childbirth or in the maneuvers of resuscitation they have a high morbidity and suppose the 8th reason of mortality in newborns. The aim of this article is to check our casuistry in the last 10 years and to present a case report of rectovaginal tear with the possible therapeutic options published in the literature. There were gathered a total of 8 perinatal neonatal injuries, being the majority of them clause-contused (5) in hairy leather, pinna and thorax. Other cases were affecting the perine: an anal tear and two rectovaginal tears; one of these patients needed colostomy and surgical repair of the perine. Only a small percentage of the perinatal neonatal injuries are valued by the paediatric surgeon. Some of them are serious and can have important consequences. The colostomy and primary or secondary closing is a therapeutic sure option in rectovaginal tears (AU)