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How to do it: delayed sphincteroplasty for obstetric anal sphincter injury
Obstetric anal sphincter injuries are a common cause of faecal incontinence in women. Symptoms can arise immediately after delivery or have an onset many years postpartum. The anterior sphincter defect may be occult and unrecognised at the time of delivery or result from a breakdown of a primary rep...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons Australia, Ltd
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9311690/ https://www.ncbi.nlm.nih.gov/pubmed/35332987 http://dx.doi.org/10.1111/ans.17650 |
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author | Ong, Ferdinand Phan‐Thien, Kim‐Chi |
author_facet | Ong, Ferdinand Phan‐Thien, Kim‐Chi |
author_sort | Ong, Ferdinand |
collection | PubMed |
description | Obstetric anal sphincter injuries are a common cause of faecal incontinence in women. Symptoms can arise immediately after delivery or have an onset many years postpartum. The anterior sphincter defect may be occult and unrecognised at the time of delivery or result from a breakdown of a primary repair. A delayed sphincteroplasty is a management option for those with persistent symptoms after a non‐operative approach. Our patient is a 35‐year‐old female who presented with faecal urgency and incontinence to liquid stool and flatus. She was 8 months post‐partum (G4P2) following a singleton vaginal delivery. She suffered a sphincter injury following a precipitous labour, described as a grade 3c perineal tear, which was repaired at the time in the operating theatre. Endoanal ultrasound revealed a persistent 40% defect in the anterior internal and external anal sphincters. Our approach to a delayed sphincteroplasty is described in detail. We employed a method that involved the identification, careful dissection, and separate repair of both anal sphincter muscles.[Image: see text] |
format | Online Article Text |
id | pubmed-9311690 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley & Sons Australia, Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-93116902022-07-29 How to do it: delayed sphincteroplasty for obstetric anal sphincter injury Ong, Ferdinand Phan‐Thien, Kim‐Chi ANZ J Surg How to Do It Obstetric anal sphincter injuries are a common cause of faecal incontinence in women. Symptoms can arise immediately after delivery or have an onset many years postpartum. The anterior sphincter defect may be occult and unrecognised at the time of delivery or result from a breakdown of a primary repair. A delayed sphincteroplasty is a management option for those with persistent symptoms after a non‐operative approach. Our patient is a 35‐year‐old female who presented with faecal urgency and incontinence to liquid stool and flatus. She was 8 months post‐partum (G4P2) following a singleton vaginal delivery. She suffered a sphincter injury following a precipitous labour, described as a grade 3c perineal tear, which was repaired at the time in the operating theatre. Endoanal ultrasound revealed a persistent 40% defect in the anterior internal and external anal sphincters. Our approach to a delayed sphincteroplasty is described in detail. We employed a method that involved the identification, careful dissection, and separate repair of both anal sphincter muscles.[Image: see text] John Wiley & Sons Australia, Ltd 2022-03-25 2022-05 /pmc/articles/PMC9311690/ /pubmed/35332987 http://dx.doi.org/10.1111/ans.17650 Text en © 2022 The Authors. ANZ Journal of Surgery published by John Wiley & Sons Australia, Ltd on behalf of Royal Australasian College of Surgeons https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | How to Do It Ong, Ferdinand Phan‐Thien, Kim‐Chi How to do it: delayed sphincteroplasty for obstetric anal sphincter injury |
title | How to do it: delayed sphincteroplasty for obstetric anal sphincter injury |
title_full | How to do it: delayed sphincteroplasty for obstetric anal sphincter injury |
title_fullStr | How to do it: delayed sphincteroplasty for obstetric anal sphincter injury |
title_full_unstemmed | How to do it: delayed sphincteroplasty for obstetric anal sphincter injury |
title_short | How to do it: delayed sphincteroplasty for obstetric anal sphincter injury |
title_sort | how to do it: delayed sphincteroplasty for obstetric anal sphincter injury |
topic | How to Do It |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9311690/ https://www.ncbi.nlm.nih.gov/pubmed/35332987 http://dx.doi.org/10.1111/ans.17650 |
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