Female Perineum [Vagina/Anus] Surgery

Discussion in 'Surgery' started by tenguix, Feb 16, 2016.

  1. tenguix

    tenguix Balls deep in the dead.

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    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.

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

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

    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. 32yo-persistent_RVF_since_traumatic_vaginal_delivery-2.

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

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

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

    More on the way!
     
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  2. tenguix

    tenguix Balls deep in the dead.

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    {Set #2}

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

    63yo-transvaginal_evisceration_of_small_bowel.



    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. 81yo-transanal_evisceration-2-perforated_upper_rectum.



    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. 39yo-urethral_erosion-2-infection_beneath_eroded_mesh.
    This shows a urethral transection with cellulitis: 39yo-urethral_erosion-3-urethral_transection_with_cellulitis.
    Vaginal wall, post-op: 39yo-urethral_erosion-4-post_op_vaginal_wall.



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

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



    This set shows a perineal pseudocontinent colostomy:

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


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

    43yo-recurrent_anal_cancer.



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

    44yo-Buschke-Lowenstein_tumor-vaginal_wall_reconstruction.



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

    64yo-recurrent_cervical_cancer-colostomy+vaginal_resection.


    And I ain't done yet...
     
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  3. tenguix

    tenguix Balls deep in the dead.

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    {Set #3}

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

    Initial presentation:
    34yo-giant_perineal_keloids-1.
    3 months post-op:
    34yo-giant_perineal_keloids-2-3months_post_op.


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

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


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

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


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

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



    Surgical treatment of bilateral hidradentis suppurativa:

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



    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. 22yo_with_childhood_burn_contracture-2-perineum_pre_op.
    Post-op:
    22yo_with_childhood_burn_contracture-3-post_op.


    That oughta do it for now.
     
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  4. semen

    semen Fresh Meat

    tmp_11905-Necronomicnom-cover-header-thumb-550x412-10434361889572.
     
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  5. looks uncomfortable.
     
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  6. Mental Puppy

    Mental Puppy Mors Est Salus Moderator

    Wow those are some ruined vaginas...
     
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  7. DoctorX

    DoctorX 「Ready to be examined~?」

    59
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    Wow-
    Not sure how painful it is but this one
    [​IMG]
    Nearly made me :shitbricks:
    Great sets tenguix
    I'm always intrigued by your posts
     
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  8. tenguix

    tenguix Balls deep in the dead.

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    Thanks man.
     
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  9. Moshie

    Moshie Meh

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    For the burn patient, how the heck did she get pregnant?! It looks like she was all closed up.
     
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  10. deviant2

    deviant2 edgy

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    The discomfort and pain has got to be immense. It looks like they wait forever to seek help..? How can they potty w/all that trauma happening down there?
     
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  11. beaverbreath

    beaverbreath Well Known Member

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    I'm thinking: fix it NOW or kill me!
     
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  12. mrln

    mrln fuck the govt...

    thataint right!
     
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  13. rottenfresh

    rottenfresh ummmmm, You smell that? Morbid Mania

    :crybaby:Oral pleasures.....:NO::asskisser:
     
    Last edited: Feb 17, 2016
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  14. rottenfresh

    rottenfresh ummmmm, You smell that? Morbid Mania

    :twitch: Some shit just can't be unseen!
     
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  15. Moshie

    Moshie Meh

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    Well she was trying to see some shit sooo....
     
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  16. DoctorX

    DoctorX 「Ready to be examined~?」

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    :imserious: So true...so damn true..
     
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  17. Honest One

    Honest One ETTAFUCKOUTTAHEA

    :blaine2:PER
    honk .
     
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  18. beety

    beety Rookie

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    Taint right!
     
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  19. _Xtina_

    _Xtina_ Poster girl

    Jesus, God, wtf....
     
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  20. 1fktmind

    1fktmind The meaning of life is that it stops.

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    download.
     
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