Functional and physiological outcomes following repair of obstetrics anal sphincter injury. A case
نویسندگان
چکیده
منابع مشابه
Obstetric anal sphincter injury
Obstetric trauma following childbirth is the primary cause of faecal incontinence in women. Injury to the anal sphincter complex is common: it has been clinically diagnosed in 0.4–2.5% of vaginal deliveries involving a mediolateral episiotomy and in up to 19% of cases of midline episiotomy. Studies using endoanal ultrasound have reported occult anal sphincter injury in up to 35% of women after ...
متن کاملObstetric anal sphincter injury.
Anal sphincter injury during childbirth is a leading cause of anal incontinence. In a study of more than 20 000 consecutive vaginal deliveries, clinically diagnosed obstetric anal sphincter injury occurred in 2.9% of primiparous women and 0.8% of multiparous ones. Of women who have sustained such an injury, 60-80% are asymptomatic at 12 months, of whom most report incontinence of flatus only, r...
متن کاملDisturbed anal sphincter function following vaginal delivery.
BACKGROUND Recently interest in idiopathic (neurogenic) faecal incontinence has swung from denervation of the external anal sphincter to the internal sphincter. AIMS To evaluate the effects of vaginal delivery on the internal sphincter. SUBJECTS 1372 mothers were studied antenatally and 1202 were accepted into the study. METHODS Sphincter pressures were measured antenatally, in the early ...
متن کاملA modified surgical approach to women with obstetric anal sphincter tears by separate suturing of external and internal anal sphincter. A modified approach to obstetric anal sphincter injury
BACKGROUND Long-term results after obstetric anal sphincter injury (OASI) are poor. We aimed to improve the long-term outcome after OASI by lessening symptoms of anal incontinence. METHODS In a prospective study at Malmö University Hospital, twenty-six women with at least grade 3B OASI were classified and sutured in a systematic way, including separate suturing of the internal and external sp...
متن کاملSymptoms and anal sphincter morphology following primary repair of third-degree tears.
BACKGROUND Approximately 0.6-9 per cent of vaginal deliveries are complicated by third-degree tears. The precise impact of such injuries on future pelvic floor function remains unknown. The aim of this study was to define the extent of structural and physiological damage to the anal sphincter and to investigate anorectal function in women who sustained third-degree tears during vaginal delivery...
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ژورنال
عنوان ژورنال: International Journal of Surgery
سال: 2013
ISSN: 1743-9191
DOI: 10.1016/j.ijsu.2013.08.017