Rectal tears occurring as a result of parturition can potentially be repaired easily and efficiently using a stapled primary closure technique. Prompt surgical intervention and aggressive medical management in the immediate post-op period can lead toa fair prognosis in the long term. Grade IV (full thickness) rectal tears, which communicate with the peritoneal cavity, have a poor prognosis because of the ensuing peritonitis. Rectal tears after parturition are not common, but they do require immediate intervention. Although parturient injuries are not uncommon, the prognosis could potentially be favorable if the tear can be closed efficiently and effectively before severe peritonitis develops. The purpose of this report is to describe a standing technique to easily and efficiently repair rectal tears as a result of parturition.
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