Preventing Anal Sphincter Tears During Delivery. An Update from Scandinavia

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Anal Incontinence and Obstetric Anal Sphincter Tears

PURPOSE: To evaluate the prevalence of anal incontinence (AI) in primiparous women five years after their first delivery; to investigate if an 8-12 hour time delay of primary repair affects AI at 1-year follow-up; to study the association between endoanal ultrasonography and anorectal manometry in relation to AI in primiparous women; to evaluate whether an endoanal ultrasonographic derived sphi...

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Risk factors for anal sphincter tear during vaginal delivery.

OBJECTIVE To identify risk factors associated with anal sphincter tear during vaginal delivery and to identify opportunities for preventing this cause of fecal incontinence in young women. METHODS We used baseline data from two groups of women who participated in the Childbirth and Pelvic Symptoms (CAPS) study: those women who delivered vaginally, either those with or those without a recogniz...

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Disturbed 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 ...

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A 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...

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Scapholunate tears: an update

Materials and methods We reviewed 147 patients (91 males, 56 females) with an average age of 37.8 years (17 to 63). In 116 cases it was a sports injury, including 41 high-level athletes. The average time between the injury and presentation was 7.41 months (between 3 and 24). All patients were operated on an outpatient surgery basis under local anesthesia. After reduction of the scapholunate jun...

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ژورنال

عنوان ژورنال: World Journal of Gynecology & Womens Health

سال: 2018

ISSN: 2641-6247

DOI: 10.33552/wjgwh.2018.01.000513