RECTOCELE AND LACERATION OF THE PERINEUM- is a displacement of the rectum into the vagina - due to tears in muscle below the vagina, the rectum may pouch upward, pushing the posterior wall of the vagina in front of it .
Signs and Symptoms :
- Constipation- difficulty of defecation
- incontinence of feces and gas in patient with complete tear
- perineal burning
Nursing Management:
- encourage woman to see gynecologist - they must be advise for medical treatment because usually feel embarrassed and tendency to take care of herself because of her belief that it's just a consequences of child bearing. Infection, cervical ulceration, cystitis or hemorrhoids are complications if tear will not be treated
'
Surgery -is a perineorrhaphy or posterior colporrhaphy a repair of the perineum and the posterior vaginal wall
POST OPERATIVE CARE:
- perineal care
- encourage voiding after 4-8 hours operation. Bladder not allowed to accumulate 150 ml of urine for the first few days
- catheterized if patient can not void after 6 hours or if patient complain of pain in the region of the bladder before 6 hours
- irrigate with warm sterile saline after urination or defecation
0 comments:
Post a Comment