Vulvar lacerations in women are treated symptomatically depending on the extent of the laceration as well as its location and specifics.
Vulvovaginal lacerations or hematomas Most vulvovaginal lacerations occur in underage girls. Vulvovaginal soft tissue injuries can be caused in different forms and degrees by riding a bicycle, crossing railings or chairs, sliding along stair railings, or falling from a height so that the vulva comes into direct contact with a hard object, as well as by sexual violence. For vulvar lacerations and concomitant vulvar hematomas, the treatment is as follows:
1. Any laceration of the vulva should be promptly sutured to stop bleeding.
(1) If the vulvar tear is superficial, it can be cleaned with potassium permanganate and sitz bath under the doctor’s guidance to carry out local cleaning and disinfection to avoid infection, and it can be cured more quickly in general.
(2) If the vulvar tear is deeper or larger, go to the hospital for surgical suture repair to prevent further tearing of the wound, and also pay attention to local disinfection and regular dressing change, as well as preventive treatment of infection, you can take levofloxacin, metronidazole and other anti-inflammatory drugs.
2. Vulvar hematoma is very likely to occur in vulvar laceration, the treatment should be based on the size of the hematoma, whether it continues to grow and the time of consultation.
If the hematoma is small and not growing, it can be treated conservatively for the time being.
Cold compresses (ice packs) should be applied within the first 24 hours to reduce local blood flow and vulvar pain.
After 24 hours, hot compresses or ultrashort wave or far infrared rays can be used to promote hematoma absorption. Four to five days after hematoma formation, blood can be withdrawn under close sterilization to accelerate the disappearance of hematoma. In the first 24 hours of hematoma formation, do not aspirate the blood, because the oozing blood has the effect of compressing the bleeding point and preventing further bleeding.
Women who have vulvar tears should suspend sexual intercourse regardless of the degree of severity to avoid infection, pay attention to the vulvar hematoma, and wait for the wound to heal completely before resuming sexual intercourse, and pay attention to gentle movements during intercourse.