| Outcome of primary repair of obstetric anal sphincter rupture using the overlap technique. | |
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MedLine Citation:
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PMID: 17943465 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Grade III and IV anal sphincter ruptures after vaginal delivery are an increasing problem. We assessed the outcome of an overlap technique in primary repair. METHODS: In this retrospective observational study, from 2002 to 2004, 61 consecutive women with grade III and IV obstetric tears were included. Of the 61 women, 42 had complete rupture of the external sphincter and underwent sphincter repair using standardised overlap technique. The outcome was assessed by clinical examination, Wexner questionnaire, and endoanal ultrasonography (EAUS), after a median follow-up of 9.4 months. Main outcome measure was continence following primary repair. RESULTS: At follow-up, 64% of the patients had no symptoms of anal incontinence. A total of 29% experienced occasional incontinence to flatus, 1 patient (2%) experienced occasional incontinence to liquid stools, and 1 patient to liquid or normal stools. EAUS revealed intact external sphincter in 29 of the 35 patients (83%). In 6 patients (17%), EAUS showed partial discontinuity of the sphincter muscle. CONCLUSION: The results show that the primary overlap technique in the repair of anal sphincter rupture following vaginal delivery is highly successful. |
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Authors:
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Pontus Molander; Tapio Väyrynen; Jorma Paavonen; Anna Lepistö; Pekka Luukkonen |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2007-10-16 |
Journal Detail:
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Title: Acta obstetricia et gynecologica Scandinavica Volume: 86 ISSN: 1600-0412 ISO Abbreviation: Acta Obstet Gynecol Scand Publication Date: 2007 |
Date Detail:
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Created Date: 2007-11-21 Completed Date: 2008-01-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370343 Medline TA: Acta Obstet Gynecol Scand Country: Denmark |
Other Details:
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Languages: eng Pagination: 1458-62 Citation Subset: IM |
Affiliation:
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Department of Obstetrics and Gynaecology, Helsinki University Central Hospital, Jorvi Hospital, Espoo, Finland. pontus.molander@hus.fi |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anal Canal / injuries*, surgery* Episiotomy / adverse effects Fecal Incontinence / epidemiology*, etiology, pathology, surgery Female Finland / epidemiology Humans Manometry Middle Aged Outcome Assessment (Health Care)* Postoperative Complications Pregnancy Puerperal Disorders / epidemiology*, etiology, pathology, surgery Questionnaires Rupture / surgery Severity of Illness Index Vacuum Extraction, Obstetrical / adverse effects |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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