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What is perinorrhoea? - Scientific and practical guide to perineum repair
مقاله تخصصی

What is perinorrhoea? - Scientific and practical guide to perineum repair

3 weeks ago
252 بازدید
Dr. Zahra Sobek Ro

Dr. Zahra Sobek Ro

Karaj

Obstetrics and Gynecology Specialist

پرینورافی چیست؟

عمل پرینورافی نوعی جراحی ترمیمی است. از روش برای بازسازی قسمت پرینه استفاده می شود. پرینورافی برای ترمیم پارگی درجه دار زایمان طبیعی و یا شل شدگی عضلات کف لنگن مورد استفاده قرار می گیرد. بهبود عملکرد پرینه منجر به درمان و یا کاهش مشکلاتی از قبیل احساس گشادی، بی ثباتی عضلات و یا احساس عدم راحتی در طول فعالیتهای روزمره زندگی است.

جراح با نزدیک‌سازی و تقویت عضلات آسیب‌دیده، ساختار پرینه را اصلاح می‌کند. اصولا این جراحی با بی حسی و یا بی هوشی سبک انجام می شود. مدت زمان این عمل کوتاه است، اما نتایج آن تاثیر محسوسی در بهبود کیفیت زندگی دارد. این عمل صرفا یک عمل زیبایی نیست و نقش ترمیم عضلات و برطرف کردن مشکلات را ایفا می کند. The recovery period of this operation takes a few weeks, it is necessary to follow the post-operation tips in order to achieve an acceptable result. 600;">

  • What exactly does perinorrhoea mean?
  • Steps to perform perinorrhaphy
  • permanence of perinorrhaphy results
  • Frequently Asked Questions
  • Summary and Conclusion
  • منابع
  • Prinorafi

    Prinorafi what exactly What does it mean?

    Prinoraphic operation is included in the category of reconstructive surgeries. The purpose of this operation is to rebuild the muscles between the genital area and the anus. The focus of this operation is to restore the muscle strength of the pelvic floor. There are several factors that cause weakness of the muscles between the vagina and the anus. Things like repeated births or muscle weakness will lead to this problem. In this surgery, the separated or stretched muscles are brought together again and fixed so that the structure and strength of the perineum returns to a more desirable state. The location of these muscles is between the vagina and the anus. This problem has complications such as lack of proper muscle control and negative effects on daily life. Surgery can improve the quality of life and the ability to control the muscles of the pelvic floor and help prevent long-term problems such as incontinence or prolapse of the pelvic organs. This surgery not only corrects the appearance of the area, but its main focus is to restore the functionality of the muscles, reduce pain and increase comfort in daily activities. It can also play an important role in improving sexual experience and increasing self-confidence after childbirth.

    One ​​of the most important muscles that play a vital role in supporting the bladder and intestines are the pelvic floor muscles. Perinorrhaphy strengthens these muscles, by strengthening these muscles, their performance improves. This muscle strengthening leads to bladder control and prevents incontinence. Also, the strength of these muscles makes them comfortable in sports and daily activities. This part of the body also has a direct impact on improving the quality of the sexual experience.

    Perinorrhaphy steps

    Perinorrhaphy is not a complicated surgery, however, it is a precise reconstructive operation. This surgery includes detailed patient evaluation and preparation steps. Observing the important points will get the best results and solve as many of the patient's problems as possible.

    Initial examination and examination

    Before performing the operation, the doctor must perform a complete examination of the pelvic floor. In this evaluation, the doctor examines the history of childbirth. Then an evaluation of the degree of muscle weakness and formation is done. These reviews are effective and vital in deciding the type of surgical technique.

    Type of anesthesia and preparation

    Perinorrhaphy is usually performed under local anesthesia, spinal anesthesia, or light anesthesia. Preparation includes maintaining the hygiene of the area, checking heart conditions and blood pressure, and ensuring the patient's mental readiness. Also, the patient must follow the instructions before the surgery, such as fasting and taking medications.

    Surgical process and how to repair the perineal muscles

    During the surgery, the surgeon restores the damaged muscles and tissues of the perineum and returns them to their normal position. The technique includes bringing the separated muscles closer together, repairing the soft tissue layers, and careful suturing to restore muscle function and pelvic floor support. Normally, perinorrhaphy lasts between 45 and 90. The size and technique chosen by the surgeon has an effect on the duration of the operation. After the surgery, the patient receives primary care and post-operative care instructions are provided for quick recovery and prevention of complications.

    Time to see the final results

    The improvement of this surgery and the end of the recovery period usually appear between 4 and 6 weeks. Full results in most cases after 3 ماه احساس می شود. At this time, the tissues have been completely repaired and the muscle strength is stabilized.

    permanence of the results of perinorrhaphy

    The permanence of the results of this operation depends on many factors, including the lifestyle of the patient, the quality of the surgery performed by the surgeon. It can be said that the percentage of stability of this practice is accepted by many people. Nevertheless, the statistics show that individual and environmental factors can affect the durability of perineurphy.

    What factors reduce durability?

    One ​​of the most important factors in reducing the durability of this procedure is the constant pressure on the pelvic floor. Chronic constipation, moving heavy objects and activities that cause a lot of pressure in this area will reduce durability. Re-pregnancy is also another effective factor in reducing the durability of perinorrhaphy. Increasing age has an effect on the positive results of this operation, in addition to this, underlying muscle problems in a person are also considered as other factors that reduce the quality of this surgery.

    Ways to increase the durability of the results

    To increase the durability of the results, strengthening the pelvic floor muscles plays a key role. Activities that increase the strength of the deep pelvic muscles can maintain the stability of the perineum. Managing pressure on the pelvic floor, such as preventing constipation and avoiding strenuous activity, is also important. Weight control, maintaining general health and following medical advice after surgery can help maintain the result. Also, if you plan to get pregnant again, consulting a doctor will help you make a more accurate decision so that the results of the previous surgery last as long as possible. class="faq-question">Is perinorrhaphy painful?

    Perinorrhaphy is usually performed under anesthesia and the patient does not feel pain during the procedure. Discomfort after the operation is also usually mild and can be controlled with medication.

    How long after perinorrhaphy can you start daily activities?

    Light activities can be performed within a few days, but heavy activities and sexual intercourse should be postponed for about 4 to 6 weeks so that the muscles are fully restored.

    Does pregnancy after perinorrhaphy affect the results of the operation?

    Pregnancy can put new pressure on the repaired muscles and some of the results may decrease. It is recommended to consult a doctor before pregnancy.

    Summary

    Perinorrhaphy has improved the quality of life in many women. This surgery can bring many benefits to a person. More stability of the pelvis, prevention of incontinence, elimination of pain or disruption in daily life are some of the advantages of this surgery. Many people after performing this procedure have expressed their satisfaction with the sexual experience compared to before the procedure.

    Perinorrhaphy results are usually stable, but factors such as constant pressure on the pelvic floor, aging or repeated pregnancies can affect its durability. Adhering to post-surgical care, strengthening the pelvic floor muscles and a healthy lifestyle play an important role in maintaining the results.

    Generally, perinorrhaphy is a reliable and effective treatment option for women who have suffered damage, laxity or discomfort in the perineum after childbirth or due to other factors. Correct diagnosis, appropriate selection of the patient and correct implementation of the surgical technique are the key success factors of this method.

    source

    Royal College of Obstetricians and Gynecologists (RCOG). class="elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-760b237" data-id="760b237" data-element_type="column">

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