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Management of wound complications following obstetric anal sphincter injury (OASIS)

The 3 steps described here—demonstrating the modern approach to managing an infected wound dehiscence following a severe perineal injury—can put patients on the path to full health
OBG Management. 2016 December;28(12):8-9, 14, 16, 43
November 29, 2016|OBG Management
Robert L. Barbieri, MD;Jeannine M. Miranne, MD, MS
Author and Disclosure Information

Dr. Barbieri is Editor in Chief, OBG Management; Chair, Obstetrics and Gynecology, Brigham and Women’s Hospital; and Kate Macy Ladd Professor of Obstetrics, Gynecology, and Reproductive Biology, Harvard Medical School, Boston, Massachusetts.
 

Dr. Miranne is in the Division of Urogynecology at Brigham and Women’s Hospital, and is an Instructor in Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School, Boston, Massachusetts.

In this article

Use a surgical checklist

All obstetricians and midwives strive to reduce the risk of OASIS at vaginal birth. When OASIS occurs, it is often useful to use a surgical checklist to ensure the execution of all steps in the management of the repair and recovery process.29 It is heartbreaking to see an OASIS repair breakdown in the week following a vaginal delivery. But by following the 3 steps outlined here, the secondary repair is likely to be successful and will quickly return most patients to full health.

Related article:
Develop and use a checklist for 3rd- and 4th-degree perineal lacerations

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The authors report no financial relationships relevant to this article.

Share your thoughts! Send your Letter to the Editor to rbarbieri@frontlinemedcom.com. Please include your name and the city and state in which you practice.

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