Repair techniques for obstetric anal sphincter injuries: A randomized controlled trial

Obstetrics and Gynecology

Volumn 107, Issue 6, 2006, Pages 1261-1268

  Fernando, Ruwan J ^a   Sultan, Abdul H ^b   Kettle, Christine ^b   Radley, Simon ^b   Jones, Peter ^b   O'Brien, P M S ^b  

^a MAYDAY UNIVERSITY HOSPITAL   (United Kingdom)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ANOPLASTY; ANUS SPHINCTER DISORDER; ARTICLE; CLINICAL ARTICLE; CLINICAL TRIAL; CONFIDENCE INTERVAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DYSPAREUNIA; FECES INCONTINENCE; FEMALE; FLATULENCE; FOLLOW UP; GENITAL PAIN; HUMAN; PERINEUM; PRIORITY JOURNAL; PROGNOSIS; QUALITY OF LIFE; QUESTIONNAIRE; RANDOMIZED CONTROLLED TRIAL; RISK FACTOR; SYMPTOM; ANAL CANAL; DEFECATION; DELIVERY; INJURY; MIDDLE AGED; SUTURING METHOD;

ADULT; ANAL CANAL; DEFECATION; DELIVERY, OBSTETRIC; DYSPAREUNIA; FECAL INCONTINENCE; FEMALE; HUMANS; MIDDLE AGED; SUTURE TECHNIQUES;

EID: 33745611182     PISSN: 00297844     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.AOG.0000218693.24144.bd     Document Type: Article

References (24)

1. Sultan AH, Kamm MA, Hudson CN, Bartram CI. Third degree obstetric anal sphincter tears: risk factors and outcome of primary repair. BMJ 1994;308:887-91.
2. Fenner DE, Genberg B, Brahma P, Marek L, DeLancey JO. Fecal and urinary incontinence after vaginal delivery with anal sphincter disruption in an obstetric unit in the United States. Am J Obstet Gynecol 2003;189:1543-50.
3. Nazir M, Carlsen E, Jacobsen AF, Nesheim BI. Is there any correlation between objective anal testing, rupture grade and bowel symptoms after primary repair of obstetric anal sphincter injury? Dis Colon Rectum 2002;45:1325-31.
4. Fernando RJ, Sultan AH, Radley S, Jones PW, Johanson RB. Management of obstetric anal sphincter injury: a systematic review and national practice survey. BMC Health Serv Res 2002;2:9.
5. Norton C, Christiansen J, Butler U, Harari D, Nelson RL, Pemberton J, et al. Anal incontinence. In: Abrams P, Cardozo L, Khoury, Wein A, editors. Incontinence. 2nd ed. Plymouth (UK): Health Publication Ltd; 2002. p. 985-1044.
6. Haadem K, Dahlstrom JA, Ling L, Ohrlander S. Anal sphincter function after delivery rupture. Obstet Gynecol 1987;70:53-6.
7. Giebel GD, Mennigen R, Chalabi KH. Secondary anal reconstruction after obstetric injury. Coloproctology 1993;1:55-8.
8. Haadem K, Ohrlander S, Lingman G. Long term ailments due to anal sphincter rupture caused by delivery: a hidden problem. Eur J Obstet Gynecol Reprod Biol 1988;27:27-32.
9. Leigh RJ, Turnberg LA. Faecal incontinence: the unvoiced symptoms. Lancet 1982;1:1349-51.
10. Mellgren A, Jensen LL, Zetterstrom JP, Wong WD, Hofmeister JH, Lowry AC. Long term cost of fecal incontinence secondary to obstetric injuries. Dis Colon Rectum 1999;42:857-67.
11. Sultan AH. Obstetric perineal injury and anal incontinence. Clin Risk 1999;5:193-6.
12. Sultan AH, Thakar R. Lower genital tract and anal sphincter trauma. Best Pract Res Clin Obstet Gynecol 2002;16:99-115.
13. Sultan AH, Monga AK, Kumar D, Stanton SL. Primary repair of obstetric anal sphincter rupture using the overlap technique. Br J Obstet Gynecol 1999;106:318-23.
14. Adams EJ, Fernando RJ. Management of third and fourth degree perineal tears following vaginal delivery. Guideline No 29. London: Royal College of Obstetricians & Gynecologists; 2001. Available at: http://www.rcog.org.uk/ resources/Public/pdf/Perineal_Tears_No29.pdf. Retrieved March 20, 2006.
15. Pocock SJ. Clinical trials: a practical approach. Chichester (UK): John Wiley & Sons; 1984.
16. Kettle C, Hills RK, Jones P, Darby L, Gray R, Johanson R. Continuous versus interrupted perineal repair with standard or rapidly absorbed sutures after spontaneous vaginal birth: a randomized controlled trial. Lancet 2000;359:2217-23.
17. Vaizey CJ, Carapeti E, Cahill JA, Kamm MA. Prospective comparison of faecal incontinence grading system. Gut 1999;44:77-80.
18. Rockwood TH, Church JM, Fleshman JW, Kane RL, Mavrantonis C, Thorson AG, et al. Fecal incontinence Quality of Life Scale: quality of life instrument for patients with fecal incontinence. Dis Colon Rectum 2000;43:9-16.
19. Fitzpatrick M, Behan M, O'Connell PR, O'Herlihy C. A randomized clinical trial comparing primary overlap with approximation repair of third degree obstetric tears. Am J Obstet Gynecol 2000;183:1220-4.
20. Garcia V, Rogers RG, Kim SS, Hall RJ, Kammerer-Doak DN. Primary repair of obstetric anal sphincter laceration: a randomized trial of two surgical techniques. Am J Obstet Gynecol 2005;192:1697-701.
21. Meyenberger C, Bertschinger P, Zala GF, Buchmann P. Anal sphincter defects in fecal incontinence: correlation between endosonography and surgery. Endoscopy 1996;28:217-24.
22. Gee AS, Durdey P. Urge incontinence of faeces is a marker of severe external anal sphincter dysfunction. Br J Surg 1995;82:1179-82.
23. Williams A. Third degree perineal tears: risk factors and outcome after primary repair. J Obstet Gynaecol 2003;23:611-14.
24. Sultan AH, Stanton SL. Preserving the pelvic floor and perineum during childbirth: elective caesarean section? Br J Obstet Gynecol 1996;103:731-4.