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Current trends in the management of pediatric patients with perineal groove
Ciro Esposito1, Ida Giurin, Antonio Savanelli
1Department of Pediatrics, Federico II University of Naples, Italy. ciroespo@unina.it
Insights
Surgical treatment for perineal groove in girls improved with chemical glue. Covering sutures with glue prevented wound dehiscence and infection, leading to better outcomes in pediatric patients.
Area of Science:
- Pediatric Surgery
- Congenital Anomalies
- Reconstructive Surgery
Background:
- Perineal groove is a rare congenital anomaly affecting young girls.
- Surgical intervention is the primary treatment for this condition.
Purpose of the Study:
- To evaluate the effectiveness of surgical treatment for perineal groove.
- To compare outcomes of standard suture closure versus suture closure with chemical glue application.
Main Methods:
- Retrospective review of six young girls (aged 2-7 years) with perineal groove treated between 1999 and 2007.
- Three patients underwent standard suture repair; three had sutures covered with chemical glue.
- Follow-up assessed for wound dehiscence and infection.
Main Results:
- Two of three patients with standard sutures experienced perineal skin dehiscence due to contamination.
- All three patients treated with chemical glue covering had uneventful postoperative courses with no dehiscence.
Conclusions:
- Surgical excision of the perineal groove is effective.
- Covering surgical sutures with chemical glue improves outcomes by preventing dehiscence and infection.
- This technique is recommended for treating perineal groove in pediatric patients.
Objective:
Perineal groove is an uncommon congenital anomaly of the perineum, affecting young girls. We report our experience in the treatment of this pathology.
Design:
Retrospective review of patients operated in our institution for a perineal groove between 1999 and 2007.
Setting:
Multidisciplinary clinic for young girls with perineal groove at the Department of Pediatrics, "Federico II" University, Naples, Italy.
Participants:
Six young girls (aged between 2 and 7 years) with perineal groove.
Interventions:
In the first three patients, who were operated on before 2004, the procedure consisted in resecting the groove and closing the perineal defect using interrupted sutures; in the last three, the skin was closed with similar approach and then covered with a chemical glue to impermeabilize and protect the suture.
Results:
At a long-term follow-up, two of the three patients operated before 2004 experienced dehiscence of the perineal skin due to urine and feces contamination; in the last three patients in whom the sutures were covered with glue there was no skin dehiscence, and the postoperative course was uneventful.
Conclusions:
A perineal groove is a rare anomaly in young girls. Treatment consists in the surgical excision of the groove, generally after two years of age. On the basis of our experience it is preferable to cover the suture with a chemical glue to impermeabilize the suture line and protect the skin from infections.
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