Cawich, Shamir O.; Bambury, Ian; Mitchell, Derek I.G.; Plummer, Joseph; Williams, Eric
Author Affiliation, Ana.
Colostomy for a fourth degree perineal laceration: Where is the evidence?
The Internet Journal of Gynecology and Obstetrics
Date of Publication
Obstetric anal sphincter injuries may cause disastrous complications including perineal cellulitis, recto-vaginal fistulae and fecal incontinence. Colostomies have been utilized to minimize morbidity, but there is still significant controversy surrounding this practice and little evidence upon which to base management decisions. We present a case where we believe a colostomy was necessary to protect a repaired fourth degree laceration and discuss the management decisions.....