Summary: Torn, ragged, mangled wounds.

Top Publications

  1. Albers L, Sedler K, Bedrick E, Teaf D, Peralta P. Factors related to genital tract trauma in normal spontaneous vaginal births. Birth. 2006;33:94-100 pubmed
    ..In settings with very low rates, evidence remains sparse on how best to facilitate birth without lacerations. The purpose of this investigation was to identify maternal and clinical factors related to genital tract ..
  2. Lindholm E, Altman D. Risk of obstetric anal sphincter lacerations among obese women. BJOG. 2013;120:1110-5 pubmed publisher
    To assess the risk for obstetric anal sphincter lacerations in relation to maternal obesity among primiparous women in Sweden.
  3. Welter S, Krbek T, Halder R, Stamatis G. A new technique for complete intraluminal repair of iatrogenic posterior tracheal lacerations. Interact Cardiovasc Thorac Surg. 2011;12:6-9 pubmed publisher
    ..with an endoscopic needle holder to allow for complete intraluminal repair of posterior tracheal wall lacerations. Four patients were admitted with an iatrogenic tracheal laceration due to emergency intubation...
  4. Alonso J, Tscholl P, Engebretsen L, Mountjoy M, Dvorak J, Junge A. Occurrence of injuries and illnesses during the 2009 IAAF World Athletics Championships. Br J Sports Med. 2010;44:1100-5 pubmed publisher
    ..To analyse the frequency and characteristics of sports injuries and illnesses incurred during the World Athletics Championships...
  5. Wheeler J, Davis D, Fry M, Brodie P, Homer C. Is Asian ethnicity an independent risk factor for severe perineal trauma in childbirth? A systematic review of the literature. Women Birth. 2012;25:107-13 pubmed publisher
    ..To undertake a systematic review of the literature to determine whether Asian ethnicity is an independent risk factor for severe perineal trauma in childbirth...
  6. Yip S, Woo S, Kwok T, Mak K. Nightmare of lumbar diskectomy: aorta laceration. Spine (Phila Pa 1976). 2011;36:E1758-60 pubmed publisher
    ..Case report...
  7. Aasheim V, Nilsen A, Lukasse M, Reinar L. Perineal techniques during the second stage of labour for reducing perineal trauma. Cochrane Database Syst Rev. 2011;:CD006672 pubmed publisher
    ..Different perineal techniques and interventions are being used to prevent perineal trauma. These interventions include perineal massage, warm compresses and perineal management techniques...
  8. Hirayama F, Koyanagi A, Mori R, Zhang J, Souza J, Gulmezoglu A. Prevalence and risk factors for third- and fourth-degree perineal lacerations during vaginal delivery: a multi-country study. BJOG. 2012;119:340-7 pubmed publisher
    To investigate the prevalence and risk factors of third- and fourth-degree perineal lacerations in 24, mainly developing, countries.
  9. Lo S, Hallam M, Smith S, Cubison T. The tertiary management of pretibial lacerations. J Plast Reconstr Aesthet Surg. 2012;65:1143-50 pubmed publisher
    Pretibial lacerations remain one of the commonest yet most neglected conditions facing emergency departments and plastic surgeons alike...

More Information


  1. Walker T, O Connor N, Byrne S, McCann P, Kerin M. Electronic follow-up of facial lacerations in the emergency department. J Telemed Telecare. 2011;17:133-6 pubmed publisher
    It is often difficult for emergency department staff to follow up the primary closure of simple facial lacerations. This is important to allow closure of the feedback loop...
  2. Landy H, Laughon S, Bailit J, Kominiarek M, Gonzalez Quintero V, Ramirez M, et al. Characteristics associated with severe perineal and cervical lacerations during vaginal delivery. Obstet Gynecol. 2011;117:627-35 pubmed publisher
    To characterize potentially modifiable risk factors for third- or fourth-degree perineal lacerations and cervical lacerations in a contemporary U.S. obstetric practice...
  3. Baghestan E, Irgens L, Børdahl P, Rasmussen S. Risk of recurrence and subsequent delivery after obstetric anal sphincter injuries. BJOG. 2012;119:62-9 pubmed publisher
    ..To investigate the recurrence risk, the likelihood of having further deliveries and mode of delivery after third to fourth degree obstetric anal sphincter injuries (OASIS)...
  4. Hamilton E, Smith S, Yang L, Warrick P, Ciampi A. Third- and fourth-degree perineal lacerations: defining high-risk clinical clusters. Am J Obstet Gynecol. 2011;204:309.e1-6 pubmed publisher
    ..Our objective was to demonstrate how a statistical technique, classification and regression trees (CART), can identify high-risk clinical clusters...
  5. Thies Lagergren L, Kvist L, Christensson K, Hildingsson I. No reduction in instrumental vaginal births and no increased risk for adverse perineal outcome in nulliparous women giving birth on a birth seat: results of a Swedish randomized controlled trial. BMC Pregnancy Childbirth. 2011;11:22 pubmed publisher
  6. Jordana M, Wilderjans H, Boswell J, Dewulf J, Smith R, Martens A. Outcome after lacerations of the superficial and deep digital flexor tendons, suspensory ligament and/or distal sesamoidean ligaments in 106 horses. Vet Surg. 2011;40:277-83 pubmed publisher
    To report outcome after the surgical treatment of lacerations of the superficial digital flexor tendon (SDFT), deep digital flexor tendon (DDFT), suspensory ligament (SL), and/or distal sesamoidean ligaments (DSL) in horses.
  7. Oliva M, Pattison C, Carino J, Roten A, Matkovic Z, O Brien T. The diagnostic value of oral lacerations and incontinence during convulsive "seizures". Epilepsia. 2008;49:962-7 pubmed publisher
    Oral lacerations and urinary incontinence have long been considered useful clinical features for the diagnosis of epileptic seizures; however, both are also reported in patients with psychogenic nonepileptic seizures (PNES)...
  8. Mattick A. Use of tissue adhesives in the management of paediatric lacerations. Emerg Med J. 2002;19:382-5 pubmed
  9. Dessole S, Cosmi E, Balata A, Uras L, Caserta D, Capobianco G, et al. Accidental fetal lacerations during cesarean delivery: experience in an Italian level III university hospital. Am J Obstet Gynecol. 2004;191:1673-7 pubmed
    The purpose of this study was to investigate the incidence, type, location, and risk factors of accidental fetal lacerations during cesarean delivery...
  10. Alperin M, Krohn M, Parviainen K. Episiotomy and increase in the risk of obstetric laceration in a subsequent vaginal delivery. Obstet Gynecol. 2008;111:1274-8 pubmed publisher
    ..To examine whether episiotomy at first vaginal delivery increases the risk of spontaneous obstetric laceration in the subsequent delivery...
  11. Stotland N, Caughey A, Breed E, Escobar G. Risk factors and obstetric complications associated with macrosomia. Int J Gynaecol Obstet. 2004;87:220-6 pubmed
    ..Macrosomia is associated with adverse maternal outcomes. The objective of this study was to characterize the epidemiology of macrosomia and related maternal complications...
  12. Voldner N, Frøslie K, Haakstad L, Bø K, Henriksen T. Birth complications, overweight, and physical inactivity. Acta Obstet Gynecol Scand. 2009;88:550-5 pubmed publisher
    ..complications: cesarean section (CS), operative vaginal deliveries (VDs), third and fourth degree of perineal lacerations and hemorrhage (> or =1,000 ml). Univariate and multiple logistic regression analyses were performed...
  13. Kobayashi K, Hamada K, Gotoh M, Handa A, Yamakawa H, Fukuda H. Healing of full-thickness tears of avian supracoracoid tendons: in situ hybridization of alpha1(I) and alpha1(III) procollagen mRNA. J Orthop Res. 2001;19:862-8 pubmed
    ..This mode of repair is different from that of the digital flexor tendon. ..
  14. Laine K, Pirhonen T, Rolland R, Pirhonen J. Decreasing the incidence of anal sphincter tears during delivery. Obstet Gynecol. 2008;111:1053-7 pubmed publisher
    ..001), but decreased to 21.1% (381 of 1,801) during the last 9 months of the intervention. As a result of this intervention the number of anal sphincter ruptures was reduced from 4.03% to 1.17%. II. ..
  15. Rodriguez A, Arenas E, Osorio A, Mendez O, Zuleta J. Selective vs routine midline episiotomy for the prevention of third- or fourth-degree lacerations in nulliparous women. Am J Obstet Gynecol. 2008;198:285.e1-4 pubmed publisher
    The purpose of this study was to determine whether selective midline episiotomy contributes to the prevention of third- or fourth-degree perineal lacerations.
  16. Siddiqui N, Stepp K, Lasch S, Mangel J, Wu J. Objective structured assessment of technical skills for repair of fourth-degree perineal lacerations. Am J Obstet Gynecol. 2008;199:676.e1-6 pubmed publisher
    The objective of this study was to assess the reliability and validity of an objective structured assessment of technical skills (OSATS) for repair of fourth-degree obstetric lacerations on a surgical model.
  17. Bansal B, Wiebe R, Perkins S, Abramo T. Tap water for irrigation of lacerations. Am J Emerg Med. 2002;20:469-72 pubmed
    This study was designed to compare the infection rates of simple lacerations irrigated with tap water versus sterile normal saline before repair...
  18. Karounis H, Gouin S, Eisman H, Chalut D, Pelletier H, Williams B. A randomized, controlled trial comparing long-term cosmetic outcomes of traumatic pediatric lacerations repaired with absorbable plain gut versus nonabsorbable nylon sutures. Acad Emerg Med. 2004;11:730-5 pubmed
    To show that the use of absorbable sutures in pediatric traumatic lacerations affords good long-term cosmesis and no increase in complications (infection, dehiscence rates, and need for surgical scar revision) when compared with wounds ..
  19. Romano P, Yasmeen S, Schembri M, Keyzer J, Gilbert W. Coding of perineal lacerations and other complications of obstetric care in hospital discharge data. Obstet Gynecol. 2005;106:717-25 pubmed
    To assess the validity of obstetric complications, including the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Core Measure on perineal lacerations, in the California Patient Discharge Data Set.
  20. Brubaker L, Handa V, Bradley C, Connolly A, Moalli P, Brown M, et al. Sexual function 6 months after first delivery. Obstet Gynecol. 2008;111:1040-4 pubmed publisher
    ..To explore the association of anal sphincter laceration and sexual function 6 months postpartum in the Childbirth and Pelvic Symptoms (CAPS) cohort...
  21. Naik M, Kelapure A, Rath S, Honavar S. Management of canalicular lacerations: epidemiological aspects and experience with Mini-Monoka monocanalicular stent. Am J Ophthalmol. 2008;145:375-380 pubmed
    To report the epidemiological data, clinical profile, and surgical outcome of canalicular lacerations in an Indian population.
  22. Lewis C, Williams A, Rogers R. Postpartum anal sphincter lacerations in a population with minimal exposure to episiotomy and operative vaginal delivery. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:41-5 pubmed
    This case-control study was designed to identify risk factors for anal sphincter lacerations (ASL) in a multicultural population where episiotomies and operative vaginal deliveries are rarely performed...
  23. Hornemann A, Kamischke A, Luedders D, Beyer D, Diedrich K, Bohlmann M. Advanced age is a risk factor for higher grade perineal lacerations during delivery in nulliparous women. Arch Gynecol Obstet. 2010;281:59-64 pubmed publisher
    To identify risk factors for the development of severe perineal lacerations and to give recommendations for their prevention in nulliparous women.
  24. Dasan S, Hashemi K. Best evidence topic report. Primary split skin grafts for pretibial lacerations. Emerg Med J. 2005;22:560-1 pubmed better than simple wound edge approximation at reducing time to healing in patients with pretibial flap lacerations. A total of 72 papers were found using the reported search, of which one presented the best evidence to answer ..
  25. Nassab R, Kok K, Constantinides J, Rajaratnam V. The diagnostic accuracy of clinical examination in hand lacerations. Int J Surg. 2007;5:105-8 pubmed
    Hand injuries account for a significant proportion of emergency department attendance. We investigated the diagnostic accuracy of clinical examination in patients with simple hand lacerations undergoing surgical exploration at our unit.
  26. Tebble N, Thomas D, Price P. Anxiety and self-consciousness in patients with minor facial lacerations. J Adv Nurs. 2004;47:417-26 pubmed
  27. Singer A, Thode H. A review of the literature on octylcyanoacrylate tissue adhesive. Am J Surg. 2004;187:238-48 pubmed a medical grade topical tissue adhesive that has been approved for closing surgical incisions and traumatic lacerations. We reviewed animal and human studies that evaluated its use for a variety of surgical indications and ..
  28. Segev F, Assia E, Harizman N, Barequet I, Almer Z, Raz J, et al. Corneal laceration by sharp objects in children seven years of age and younger. Cornea. 2007;26:319-23 pubmed
    ..We sought to evaluate the management of penetrating corneal injury without intraocular foreign body (IOFB) in children <or=7 years old and to assess the long-term visual acuity results...
  29. Delancey J, Miller N, Berger M. Surgical approaches to postobstetrical perineal body defects (rectovaginal fistula and chronic third and fourth-degree lacerations). Clin Obstet Gynecol. 2010;53:134-44 pubmed publisher
    Rectovaginal fistulas and chronic anal sphincter lacerations are uncommon complications that are most often secondary to vaginal delivery, gynecologic surgery, and inflammatory bowel disease...
  30. Revicky V, Nirmal D, Mukhopadhyay S, Morris E, Nieto J. Could a mediolateral episiotomy prevent obstetric anal sphincter injury?. Eur J Obstet Gynecol Reprod Biol. 2010;150:142-6 pubmed publisher
    ..To analyse the significance of risk factors and the role of episiotomy in preventing obstetric anal sphincter injury at vaginal delivery...
  31. Karwacki Z, Witkowska M, Łasińska Kowara M, Słoniewski P, Wojciechowski J. Iliac artery injury during lumbar microdiscectomy. Anestezjol Intens Ter. 2010;42:24-6 pubmed
    ..Accidental laceration of major abdominal vessels during lumbar disc surgery is a relatively rare complication that requires rapid diagnosis and management...
  32. Reddy S, Myung J, Solomon J, Young J. Bungee cord-induced corneal lacerations correcting for myopic astigmatism. J Cataract Refract Surg. 2007;33:1339-40 pubmed
    ..00 -0.25x150 in the right eye and -3.50 -1.50x170 in the left eye who experienced bungee-cord-related corneal lacerations in the left eye...
  33. Gottvall K, Allebeck P, Ekeus C. Risk factors for anal sphincter tears: the importance of maternal position at birth. BJOG. 2007;114:1266-72 pubmed
    ..To assess the role of birth position in the occurrence of anal sphincter tears (AST)...
  34. Choi S, Ahn J, Lee D, Jung Y. The Effectiveness of Mobile Discharge Instruction Videos (MDIVs) in communicating discharge instructions to patients with lacerations or sprains. South Med J. 2009;102:239-47 pubmed publisher
    This study evaluates the effectiveness of mobile discharge instruction videos (MDIVs) in communicating discharge instructions to patients with lacerations or sprains.
  35. Singer A, Thode H, Hollander J. National trends in ED lacerations between 1992 and 2002. Am J Emerg Med. 2006;24:183-8 pubmed
    National estimates of the number of lacerations are based on the number of wounds cared for in the emergency department (ED). However, this number includes wounds other than lacerations...
  36. Farion K, Osmond M, Hartling L, Russell K, Klassen T, Crumley E, et al. Tissue adhesives for traumatic lacerations: a systematic review of randomized controlled trials. Acad Emerg Med. 2003;10:110-8 pubmed
    To summarize the best available evidence for the effect of tissue adhesives (TAs) in managing traumatic lacerations in children and adults.
  37. Cardillo G, Carbone L, Carleo F, Batzella S, Jacono R, Lucantoni G, et al. Tracheal lacerations after endotracheal intubation: a proposed morphological classification to guide non-surgical treatment. Eur J Cardiothorac Surg. 2010;37:581-7 pubmed publisher
    Postintubation tracheobronchial lacerations (PITLs) are traditionally managed surgically. We sought to evaluate the rationale for non-surgical management of PITL.
  38. Degoricija L, Johnson C, Wathier M, Kim T, Grinstaff M. Photo cross-linkable Biodendrimers as ophthalmic adhesives for central lacerations and penetrating keratoplasties. Invest Ophthalmol Vis Sci. 2007;48:2037-42 pubmed
    ..The leaking pressures were determined for these adhesives when used to seal 4.1-mm central lacerations and penetrating keratoplasties (PKPs) in enucleated porcine eyes.
  39. Lowder J, Burrows L, Krohn M, Weber A. Risk factors for primary and subsequent anal sphincter lacerations: a comparison of cohorts by parity and prior mode of delivery. Am J Obstet Gynecol. 2007;196:344.e1-5 pubmed
  40. Sherer D, Khoury Collado F, Hellmann M, Abdelmalek E, Kheyman M, Abulafia O. Transvaginal sonography of hematotrachelos and hematometra causing acute urinary retention after previous repair of intrapartum cervical lacerations. J Ultrasound Med. 2006;25:269-71 pubmed
  41. Wiener J, Westwood J. Fetal lacerations at caesarean section. J Obstet Gynaecol. 2002;22:23-4 pubmed
    Fetal lacerations occurred in 1.5% of caesarean sections carried out in our institution. The incidence was independent of type of caesarean section, fetal presentation, cervical dilatation, presence of intact membranes or operator grade...
  42. Holger J, Wandersee S, Hale D. Cosmetic outcomes of facial lacerations repaired with tissue-adhesive, absorbable, and nonabsorbable sutures. Am J Emerg Med. 2004;22:254-7 pubmed
    The objective of this study was to compare the 9- to 12-month cosmetic outcome of facial lacerations closed with rapid-absorbing gut suture (RG), octylcyanoacrylate (OC), or nylon suture (NL)...
  43. Lundquist M, Olsson A, Nissen E, Norman M. Is it necessary to suture all lacerations after a vaginal delivery?. Birth. 2000;27:79-85 pubmed
    Midwives tend to leave minor perineal lacerations to heal spontaneously, and clinical experience and studies show that women can suffer from their stitched lacerations...
  44. Erhard L, Schultz F, Zobitz M, Zhao C, Amadio P, An K. Reproducible volar partial lacerations in flexor tendons: a new device for biomechanical studies. J Biomech. 2002;35:999-1002 pubmed
    A device was designed to create clinically relevant, precise partial flexor digitorum profundus tendon lacerations for in vitro studies but can be adapted for in vivo studies...
  45. Göktas N, Karcioglu O, Coskun F, Karaduman S, Menderes A. Comparison of tissue adhesive and suturing in the repair of lacerations in the emergency department. Eur J Emerg Med. 2002;9:155-8 pubmed
    ..A total of 92 consecutive adult patients with lacerations equal to or shorter than 5 cm were enrolled in the study. Patients were randomized to either HAB or suturing...
  46. de Souza Caroci da Costa A, Gonzalez Riesco M. A comparison of "hands off" versus "hands on" techniques for decreasing perineal lacerations during birth. J Midwifery Womens Health. 2006;51:106-11 pubmed
    Our goal was to determine the frequency, degree, and location of perineal lacerations and the neonatal outcomes associated with the use of two techniques of perineal protection--expectant ("hands off") and interventionist (&..
  47. Benavides L, Wu J, Hundley A, Ivester T, Visco A. The impact of occiput posterior fetal head position on the risk of anal sphincter injury in forceps-assisted vaginal deliveries. Am J Obstet Gynecol. 2005;192:1702-6 pubmed
    ..posterior (OP) fetal head position is also associated with an increased risk for third- or fourth-degree lacerations. The objective of this study was to assess whether OP position confers an incrementally increased risk for anal ..
  48. Fenner D, Genberg B, Brahma P, Marek L, Delancey J. Fecal and urinary incontinence after vaginal delivery with anal sphincter disruption in an obstetrics unit in the United States. Am J Obstet Gynecol. 2003;189:1543-9; discussion 1549-50 pubmed
  49. Zempsky W, Parrotti D, Grem C, Nichols J. Randomized controlled comparison of cosmetic outcomes of simple facial lacerations closed with Steri Strip Skin Closures or Dermabond tissue adhesive. Pediatr Emerg Care. 2004;20:519-24 pubmed
    To compare the short-term complications and long-term cosmetic outcomes of simple facial lacerations closed with 3M Steri Strip Skin Closures or Dermabond.
  50. Lo S, Aslam N. Mechanisms and pattern of facial lacerations in the Accident Department. Int J Clin Pract. 2005;59:333-5 pubmed
    ..A retrospective analysis of facial lacerations of an adult presenting to Accident and Emergency department was made over a 6-month period...
  51. Singer A, Quinn J, Clark R, Hollander J. Closure of lacerations and incisions with octylcyanoacrylate: a multicenter randomized controlled trial. Surgery. 2002;131:270-6 pubmed
    Most lacerations and surgical incisions are closed with sutures or staples. Octylcyanoacrylate tissue adhesive (OCA) was recently approved for use in the United States...
  52. Goldberg J, Hyslop T, Tolosa J, Sultana C. Racial differences in severe perineal lacerations after vaginal delivery. Am J Obstet Gynecol. 2003;188:1063-7 pubmed
    ..The purpose of this study was to determine the relationship between maternal race and rates of third- and fourth-degree laceration after vaginal delivery...
  53. Kragh J, Svoboda S, Wenke J, Ward J, Walters T. Passive biomechanical properties of sutured mammalian muscle lacerations. J Invest Surg. 2005;18:19-23 pubmed
    ..A biomechanical protocol was designed for measuring suture performance in muscle belly lacerations. Twenty simple stitches in porcine and 21 stitches in bovine specimens were tested...
  54. Dandolu V, Chatwani A, Harmanli O, Floro C, Gaughan J, Hernandez E. Risk factors for obstetrical anal sphincter lacerations. Int Urogynecol J Pelvic Floor Dysfunct. 2005;16:304-7 pubmed
    The objective of this study was to identify the rate of anal sphincter lacerations in a large population-based database and analyze risk factors associated with this condition...
  55. Kragh J, Svoboda S, Wenke J, Ward J, Walters T. Suturing of lacerations of skeletal muscle. J Bone Joint Surg Br. 2005;87:1303-5 pubmed
    ..All five combination stitches did not fail but successfully elongated. Our study has shown that the better method of repair for suturing muscle is the use of combination stitches...
  56. Leibovitch I, Kakizaki H, Prabhakaran V, Selva D. Canalicular lacerations: repair with the Mini-Monoka® monocanalicular intubation stent. Ophthalmic Surg Lasers Imaging. 2010;41:472-7 pubmed publisher
    There are different techniques for reconstructing traumatic canalicular lacerations. The aim of this study is to report the surgical outcome with the Mini-Monoka monocanalicular stent (FCI Ophthalmics, Issy-Les Moulineaux, France).
  57. Altman D, Ragnar I, Ekström A, Tyden T, Olsson S. Anal sphincter lacerations and upright delivery postures--a risk analysis from a randomized controlled trial. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18:141-6 pubmed
    To evaluate obstetric sphincter lacerations after a kneeling or sitting position at second stage of labor in a multivariate risk analysis model.
  58. Borello France D, Burgio K, Richter H, Zyczynski H, Fitzgerald M, Whitehead W, et al. Fecal and urinary incontinence in primiparous women. Obstet Gynecol. 2006;108:863-72 pubmed
    ..To prospectively investigate the relationship between anal sphincter tears and postpartum fecal and urinary incontinence...
  59. Murphy D, MacLeod M, Bahl R, Goyder K, Howarth L, Strachan B. A randomised controlled trial of routine versus restrictive use of episiotomy at operative vaginal delivery: a multicentre pilot study. BJOG. 2008;115:1695-702; discussion 1702-3 pubmed publisher
    ..To compare the maternal and neonatal outcomes of operative vaginal delivery in relation to the use of episiotomy...
  60. Handa V, Danielsen B, Gilbert W. Obstetric anal sphincter lacerations. Obstet Gynecol. 2001;98:225-30 pubmed
    ..To estimate the frequency of obstetric anal sphincter laceration and to identify characteristics associated with this complication, including modifiable risk factors...
  61. Beam J. Tissue adhesives for simple traumatic lacerations. J Athl Train. 2008;43:222-4 pubmed publisher
    Farion K, Osmond MH, Hartling L, et al. Tissue adhesives for traumatic lacerations in children and adults. Cochrane Database Syst Rev. 2001(4);CD003326.