Female Perineum [Vagina/Anus] Surgery

tenguix

Balls deep in the dead.
Only women in this thread.

{Set #1}


A rectovaginal fistula (RVF) is an epithelial lined tract between the rectum and vagina, and generally presents with passage of air, stool or even purulent discharge from the vagina. RVFs in developing nations are related to prolonged labors that cause necrosis of the rectovaginal septum.

The clamp in this image shows a continuous tract between rectum and vagina:
RVF_example-1-clamp.jpg


This series of images depicts the classic "pull-through" treatment technique for traumatic RVF's:

traumatic_RVF_treatment-PullThrough_Technique-1.jpg
traumatic_RVF_treatment-PullThrough_Technique-2.jpg
traumatic_RVF_treatment-PullThrough_Technique-3.jpg
traumatic_RVF_treatment-PullThrough_Technique-4.jpg


Surgery on a 32-year-old woman whose had persistent RVF since her traumatic vaginal delivery a couple years back:

32yo-persistent_RVF_since_traumatic_vaginal_delivery-1.jpg
32yo-persistent_RVF_since_traumatic_vaginal_delivery-2.jpg


Surgery on a 45-year-old with a prolapsing loop colostomy and RVF (with some nice illustrations):

45yo-prolapsing_loop_colostomy_with_RVF-surgery-1.jpg
45yo-prolapsing_loop_colostomy_with_RVF-surgery-2.jpg
45yo-prolapsing_loop_colostomy_with_RVF-surgery-3.jpg


This is a young patient whose perineum has been mutilated -- RVF treatment malpractice:
young_patient-RVF_treatment_malpractice.jpg


Surgery to treat recurrent pouch vaginal fistulae in a 26-year-old woman:
26yo-recurrent_pouch_vaginal_fistulae-1.jpg
26yo-recurrent_pouch_vaginal_fistulae-2.jpg
26yo-recurrent_pouch_vaginal_fistulae-3.jpg


More on the way!
 

Attachments

OP
tenguix

tenguix

Balls deep in the dead.
{Set #2}

A 63-year-old woman showing transvaginal evisceration of the small bowel:

63yo-transvaginal_evisceration_of_small_bowel.jpg




Transanal evisceration caused by rectal laceration in an 81-year-old woman; she may have caused the injuries herself -- attempting to "manipulate herself" into taking a shit when incontinent:

81yo-transanal_evisceration_caused_by_rectal_laceration-1.jpg
81yo-transanal_evisceration-2-perforated_upper_rectum.jpg




Urethral erosion in a 39-year-old -- caused by treatment for stress urinary incontinence. There is a Pseudomonas infection beneath the worn vaginal mesh:

39yo-urethral_erosion_from_stress_urinary_incontinence_treatment-1.jpg
39yo-urethral_erosion-2-infection_beneath_eroded_mesh.jpg

This shows a urethral transection with cellulitis:
39yo-urethral_erosion-3-urethral_transection_with_cellulitis.jpg

Vaginal wall, post-op:
39yo-urethral_erosion-4-post_op_vaginal_wall.jpg




Surgery on a 32-year-old woman with a perineal tear due to obstetric trauma:

32yo-perineal_tear_due_to_obstetric_trauma-1.jpg
32yo-perineal_tear_due_to_obstetric_trauma-2.jpg
32yo-perineal_tear_due_to_obstetric_trauma-3.jpg
32yo-perineal_tear_due_to_obstetric_trauma-4.jpg
32yo-perineal_tear_due_to_obstetric_trauma-5.jpg




This set shows a perineal pseudocontinent colostomy:

perineal_pseudocontinent_colostomy-1.jpg
perineal_pseudocontinent_colostomy-2.jpg
perineal_pseudocontinent_colostomy-3.jpg
perineal_pseudocontinent_colostomy-4.jpg



Surgery on a 43-year-old woman with recurrent anal cancer:

43yo-recurrent_anal_cancer.jpg




Surgery on a 44-year-old with a Buschke-Lowenstein tumor (associated with HPV) -- vaginal wall reconstruction:

44yo-Buschke-Lowenstein_tumor-vaginal_wall_reconstruction.jpg




Colostomy and vaginal resection performed on a 64-year-old woman with recurrent cervical cancer:

64yo-recurrent_cervical_cancer-colostomy+vaginal_resection.jpg



And I ain't done yet...
 
OP
tenguix

tenguix

Balls deep in the dead.
{Set #3}

A 34-year-old woman with giant perineal keloids (since childhood).

Initial presentation:
34yo-giant_perineal_keloids-1.jpg

3 months post-op:
34yo-giant_perineal_keloids-2-3months_post_op.jpg



Excision of a 73-year-old woman's subpubic tumor:

73yo-subpubic_tumor-1.jpg
73yo-subpubic_tumor-2.jpg



Excision of a massive tumor (perineal leiomyoma) from a 40-year-old, morbidly obese woman:

40yo_morbidly_obese-giant_perineal_leiomyoma-1.jpg
40yo_morbidly_obese-giant_perineal_leiomyoma-2.jpg



Excision of a rare tumor (urethral leiomyoma) from 38-year-old woman:

38yo-urethral_leiomyoma-1.jpg
38yo-urethral_leiomyoma-2-excised.jpg




Surgical treatment of bilateral hidradentis suppurativa:

perineal_hidradentis_suppurativa_surgery-1.jpg
perineal_hidradentis_suppurativa_surgery-2.jpg
perineal_hidradentis_suppurativa_surgery-3.jpg
perineal_hidradentis_suppurativa_surgery-4.jpg
perineal_hidradentis_suppurativa_surgery-5.jpg




This one is a bit odd. A pregnant 22-year-old woman with post-burn contractures since childhood is given an emergency C-section and corrective grafting.

Initial presentation:
22yo_with_childhood_burn_contracture-emergency_c_section+grafting-1.jpg
22yo_with_childhood_burn_contracture-2-perineum_pre_op.jpg

Post-op:
22yo_with_childhood_burn_contracture-3-post_op.jpg



That oughta do it for now.
 
Top