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Episiotomía de cuarto grado con fístula recto-vaginal

ID: exh4556aes
Muestra con gran claridad un desgarro por episiotomía de cuarto grado con una reparación insuficiente de tercer grado y una fístula recto-vaginal posterior. Muestra una laceración de cuarto grado que se extiende desde la abertura vaginal a través de los músculos del perineo y hacia el ano. Muestra la reparación quirúrgica, en la que la laceración se cierra por suturación mientras que la mucosa rectal permanece abierta. Muestra la fístula recto-vaginal subsiguiente resultante de una perforación en la capa mucosa rectal.

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