Aug 5, 2019 07:03
4 yrs ago
4 viewers *
Spanish term

estallido vaginal

Spanish to English Medical Medical: Health Care Guidelines on obstetric emergencies
The context is a table of procedures to be followed in the event of postpartum tears/lacerations. It comes under the heading of "sutura de desgarros." 'Vaginal burst' yields nothing but pornography. I have tried 'rupture' and did not find any convincing results, though 'uterine rupture' is common and appears in the ICD. I also found references to 'burst vaginal cysts'. Any other ideas?

Las suturas de la vagina, cérvix y/o periné, deben realizarse bajo analgesia para realizar las suturas continuas con materiales absorbibles.

Verificar la integridad del esfínter anal y de la uretra.

En caso de ***estallido vaginal*** con sangrado profuso e incontrolable puede realizarse un empaquetamiento vaginal con mechas vaginales (envaselinadas o sobre un guante de látex) para ser retirado a las 24 a 48 horas.
Proposed translations (English)
4 +3 Severe vaginal tear/laceration
References
tear (or tearing), not burst

Discussion

Didier Declercq (X) Aug 5, 2019:

No, I don't think it specifically relates to a lateral tear.

In case of vaginal tearing or laceration with excessive or uncontrolled bleeding, vaginal packing can be performed, but it is no alternative to suturing in the majority of tears, regardless the degree.

Muriel Vasconcellos (asker) Aug 5, 2019:
Another reason for my question I'm also wondering if it's a **lateral** tear.
While researching this question, I ran into the following link, which makes a distinction between an "estallido lateral" and an "herida vertical."

https://books.google.com/books?isbn=6077743674 - Translate this page
CABERO
Los desgarros altos (la parte más amplia de la vagina), pueden deberse a una ... del canal vaginal y muchas veces su lesión (estallido lateral o herida lineal).

Proposed translations

+3
1 hr
Selected

Severe vaginal tear/laceration

I’m using my phone so it’s difficult to provide references right now. I’ve read that ‘estallido vaginal’ is the same as ‘desgarro vaginal (severo’.



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Note added at 1 hr (2019-08-05 08:17:45 GMT)
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A los desgarros en el parto también se les conoce con el nombre de desgarro perineal, o estallido vaginal. Tienen lugar cuando el bebé pasa a través del canal del parto. Esto provoca el desgarro en algunos de los músculos que conforman el suelo pélvico.

https://mejorconsalud.com/desgarros-en-el-parto-grados-preve...

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Note added at 2 hrs (2019-08-05 09:37:28 GMT)
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Un desgarro perineal o estallido vaginal en el parto es una rotura en la piel o músculo del perineo (área entre la vagina y el ano). Existen diferentes grados de desgarros vaginales dependiendo de su gravedad, pero no hay que preocuparse pues con una buena preparación durante el embarazo se pueden prevenir en gran medida.
Cuando el bebé pasa por el canal de parto puede provocar un desgarro en alguno de los músculos que componen el suelo pélvico. Las lesiones más comunes suelen darse en la zona perineal y pueden ir desde pequeños cortes hasta laceraciones profundas, como el desgarro de Emmet. Durante el nacimiento, los tejidos de esta zona deben estirarse y si la piel no está preparada, se puede sufrir este tipo de traumatismo.

https://www.todopapas.com/embarazo/parto/desgarros-perineale...

The indication for a vaginal pack is to provide pressure against friable tissue, or to
help retain a Rusch intrauterine balloon, and is not an alternative to suturing the
majority of vaginal tears or lacerations. It may be used when a paravaginal
haematoma has been drained, in conjunction with a corrugated drain.

https://www.royalberkshire.nhs.uk/Downloads/GPs/GP protocols...

Identification of obstetric anal sphincter injuries
How can the identification of obstetric anal sphincter injuries be improved?
All women having a vaginal delivery are at risk of sustaining OASIS or isolated rectal buttonhole tears. They should therefore be examined systematically, including a digital rectal examination, to assess the severity of damage, particularly prior to suturing.
Repair of OASIS
General principles
Repair of third- and fourth-degree tears should be conducted by an appropriately trained clinician or by a trainee under supervision. Repair should take place in an operating theatre, under regional or general anaesthesia, with good lighting and with appropriate instruments. If there is excessive bleeding, a vaginal pack should be inserted and the woman should be taken to the theatre as soon as possible. Repair of OASIS in the delivery room may be performed in certain circumstances after discussion with a senior obstetrician. [New 2015]

https://www.rcog.org.uk/globalassets/documents/guidelines/gt...

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Note added at 7 hrs (2019-08-05 14:15:04 GMT)
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A los desgarros en el parto también se les conoce con el nombre de desgarro perineal, o estallido vaginal. Tienen lugar cuando el bebé pasa a través del canal del parto. Esto provoca el desgarro en algunos de los músculos que conforman el suelo pélvico.

https://mejorconsalud.com/desgarros-en-el-parto-grados-preve...
Peer comment(s):

agree José Patrício : Vaginal tears in childbirth - https://www.mayoclinic.org/healthy-lifestyle/labor-and-deliv...
12 mins
Thank you, José :-)
agree neilmac : Ouch!
9 hrs
Yes, it makes you wonder why we insist on having babies!
agree Shenice Parkyn
20 hrs
Thank you, Shenice :-)
Something went wrong...
4 KudoZ points awarded for this answer. Comment: "Thank you, Helena! I'll let you decide if it should go in the glossary."

Reference comments

1 hr
Reference:

tear (or tearing), not burst

Note from asker:
See my post in the Discussion. I'm aware that it's a particular kind of tear. One of the reasons I posted the question is that I found references to an "estallido lateral" versus an "herida vertical".
Peer comments on this reference comment:

agree Shenice Parkyn
19 hrs
Thank you, Shenice.
Something went wrong...
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