WIMJOURNAL, Volume No. 4, Issue No. 2, 2017 pISSN 2349-2910, eISSN 2395-0684 Kawade V Y © Walawalkar International Medical Journal 62 CASE REPORT Secondary Repair of Third Degree Perineal Tear Leading to Fecal Incontinence in 2 Cases Vasant Kawade 1 and Abhijit Ambike 2 Professor and Head, Department of OBGY, B.K.L.Walawakarl Rural Medical College and Hospital, Sawarde 1 ,Assistant Professor, Department of OBGY, B.K.L.Walawakar Rural Medical College and Hospital, Sawarde 2 Abstract: Obstetric injury is the commonest cause of anal incontinence. According to Mr. Abdul H Sultan and Miss RaneeThakar, UK, who have done extensive work in this field, ‘Every woman who has a vaginal delivery has a 3rd or 4th degree tear until proved otherwise and a 3rd or 4th degree tear cannot be excluded without a rectal examination’. We report two cases of anal incontinence as a result of third degree perineal tear and complete disruption of the perineum secondary to childbirth. Secondary repair of anal sphincter and perineal reconstruction in a rural tertiary care hospital rendered excellent immediate clinical result. Key words: Obstetric injury, Perineal Tear, vaginal delivery Address for correspondence: Dr.Vasant Kawade, Professor and Head, Department of OBGY, B.K.L.Walawalkar Rural Medical College and Hospital, Sawarde-415606, Ratnagiri, Maharashtra. E-mail: drvkawade1986@gmail.com, Mobile No.: 9422252904 Received date: 16/12/2017 Revised date: 26/12/2017 Accepted date: 29/12/2017 DOI Link: http://www.doi-ds.org/doilink/12.2017-59184977/ Introduction: Obstetric injury is the commonest cause of perineal and anal sphincter injury resulting in lack of bowel control. 4 to 6% of women who have vaginal deliveries will suffer from faecal incontinence (1) .However there is How to cite this article: Vasant Kawade and Abhijit Ambike. Secondary Repair of Third Degree Perineal Tear Leading to Fecal Incontinence in 2 Cases. Walawalkar International Medical Journal 2017; 4(2): 62- 69,http://www.wimjournal.com