Arkansas Healthcare Insurance: What you need to know. 1  There is no state law requiring employers to offer group healthcare insurance to their employees, but most employers do provide this benefit. 2  Under federal law, states are not allowed to regulate self-insured benefit plans. Arkansas's mandated benefits, continuation, and conversion provisions do not apply to health plans in which the employer pays all benefits without the proceeds of any insurance policy.
Most lacerations are minor, and repairable by primary wound closure. Primary closure technique attempt to bring the wound edges together neatly and evenly, stop any bleeding, preserve function of the tissue, prevent infection, restore cosmetic appearance, and promote rapid healing.s a general rule, lacerations on any part of the body may be closed primarily for up to 12 hours following the injury. Facial wounds may be closed primarily up to 72 hours following the injury.
Effective repair requires a knowledge of perineal anatomy and surgical technique. Perineal lacerations are classified according to their depth. Sequelae of obstetric lacerations include chronic perineal pain, dyspareunia, urinary incontinence, and fecal incontinence.With lacerations involving the anal sphincter complex, particular attention must be given to anatomy and surgical technique because of the high incidence of poor functional outcomes after repair.inimizing the use of episiotomy and forceps deliveries can decrease the occurrence of severe perineal lacerations. Perineal repair after episiotomy or spontaneous obstetric laceration is one of the most common surgical procedures.