Perineal Tear Repair Surgery in Delhi

Safe, effective post-childbirth perineal tear repair by expert plastic surgeon Dr. Kaushik.

What is a Perineal Tear?

The perineum is the area between the vagina and anus. During childbirth, sometimes the skin and underlying muscles do not stretch enough, leading to tears. Perineal tears commonly occur in first-time vaginal deliveries or when the baby is large or in distress. Episiotomy is a deliberate surgical cut to create more space during delivery, but most tears are spontaneous and heal naturally or with minor repair.

Types of Perineal Tears

• First-degree: Skin only, usually heals naturally
• Second-degree: Involves perineal muscles, requires stitches, heals in 2–3 weeks
• Third-degree: Extends to the anus, may cause pain during defecation and sexual intercourse
• Fourth-degree: Severe tears involving anus and rectum, may require colorectal evaluation

Risk factors include prolonged labor, assisted delivery, baby's position, large baby, first vaginal delivery, induced labor, and previous tears.

Perineal Tear Repair Procedure

Repair involves stitching the torn skin and muscles using dissolvable sutures. This holds the tissue together, prevents bleeding, and aids in proper healing. Dissolvable stitches generally take 10 days to dissolve completely, with full healing in 6–7 weeks. Severe tears are repaired by an expert plastic surgeon to restore both functionality and aesthetics.

• Anesthesia: Local or Regional
• Duration: 30–60 minutes depending on tear severity
• Recovery: 6–7 weeks for complete healing

Postoperative Care & Recovery

• Maintain hygiene; clean with warm water after every toilet visit
• Use soft tissue for gentle wiping
• Change sanitary pads regularly to prevent infection
• Avoid straining during bowel movements; use stool softeners as prescribed
• Consume fiber-rich diet and fluids
• Pelvic floor exercises and physiotherapy aid healing
• Follow-up appointment at 6 weeks for assessment

Managing Pain & Discomfort

• Apply ice packs (not directly on skin)
• Take prescribed painkillers
• Use local anesthetic creams if needed
• Warm baths with aromatherapy oils may help ease discomfort
• Avoid strenuous physical activity

When to Contact Your Physician

• Unmanageable pain or fever
• Non-healing stitches or foul-smelling discharge
• Difficulty controlling bowel movements
• Other concerns regarding wound healing

Future Deliveries

Women fully healed from third- or fourth-degree tears may attempt vaginal delivery in the future. In incomplete healing, a cesarean section may be recommended to prevent further complications.

Expert Perineal Tear Repair in Delhi

Dr. Kaushik, an experienced plastic surgeon specializing in genital surgeries, provides advanced perineal tear repair. His expertise ensures effective repair, fast recovery, and restored functionality.