Long-Term Outcome of Delayed Primary or Early Secondary Reconstruction of the Anal Sphincter after Obstetrical Injury
| Autor: | Karl Møller Bek, Mette M. Soerensen, Karen-Elise Højberg, Søren Laurberg, Steen Buntzen |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Questionnaires medicine.medical_specialty Time Factors Anal Canal Lacerations Stoma Quality of life Risk Factors Surveys and Questionnaires medicine Humans Fecal incontinence Prospective Studies Reconstructive Surgical Procedures Prospective cohort study Rupture Vaginal delivery business.industry Gastroenterology General Medicine Plastic Surgery Procedures Anal canal Delivery Obstetric Colorectal surgery Surgery Treatment Outcome medicine.anatomical_structure Quality of Life Sphincter Female medicine.symptom business Fecal Incontinence |
| Zdroj: | Soerensen, M M, Bek, K M, Buntzen, S, Højberg, K-E & Laurberg, S 2008, ' Long-term outcome of delayed primary or early secondary reconstruction of the anal sphincter after obstetrical injury ', Diseases of the Colon and Rectum, vol. 51, no. 3, pp. 312-7 . https://doi.org/10.1007/s10350-007-9084-4 |
| ISSN: | 0012-3706 |
| DOI: | 10.1007/s10350-007-9084-4 |
| Popis: | Udgivelsesdato: 2008-Mar PURPOSE: Traditionally sphincter repair has not been performed during the puerperium. This prospective study was designed to determine the long-term outcome of delayed primary or early secondary sphincteroplasty in the puerperium. METHODS: Between 1991 and 2005, 22 females underwent delayed primary or early secondary repair after third-degree or fourth-degree anal sphincter rupture. Delayed primary reconstruction was performed more than 72 hours after delivery. Early secondary reconstruction was performed within 14 days postpartum. The reconstruction of the anal sphincter was performed without a covering stoma, in all cases. A control group of 19 age-matched and parity-matched females, without known anal sphincter injury after vaginal delivery, were included. Current degree of continence and associated quality of life were determined by a fecal incontinence severity questionnaire and a quality of life questionnaire. RESULTS: None of the females had complications postoperatively. Mean follow-up was 50 (range, 2-155) months in the case group and 60 (range, 12-132) months in the control group. At time of follow-up, the Wexner score was 4.1 (range, 0-13) in females with delayed primary or early secondary reconstruction and 1.1 (range, 0-8) in the control group (P |
| Databáze: | OpenAIRE |
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