干旱区生态环境知识资源中心(Arid): Early secondary repair of obstetric anal sphincter injury: postoperative complications, long-term functional outcomes, and impact on quality of life

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DOI	10.1007/s10151-019-02146-z
	Early secondary repair of obstetric anal sphincter injury: postoperative complications, long-term functional outcomes, and impact on quality of life
	Barbosa, M.1; Glavind-Kristensen, M.1; Christensen, P.1,2
通讯作者	Barbosa, M.
来源期刊	TECHNIQUES IN COLOPROCTOLOGY
ISSN	1123-6337
EISSN	1128-045X
出版年	2020
卷号	24 期号:3 页码:221-229
英文摘要	Background An early secondary repair of the anal sphincter may be necessary if primary repair of obstetric anal sphincter injury (OASIS) is complicated by wound rupture or severe infection. The objective of this study was to assess the long-term functional outcomes, morbidity, and impact on quality of life (QoL) following an early secondary repair of OASIS. Methods This retrospective cohort study was conducted at Aarhus University Hospital, Denmark. All women having a secondary repair of the anal sphincter within 21 days of delivery from February 1991 to February 2017 were included (n = 51). Complications were assessed by reviewing medical records. The patient-reported outcomes were assessed in 2018 by questionnaires. Primary outcome was Wexner score and St. Mark's score. Impact on QoL was assessed using the Fecal Incontinence Quality of Life Scale (FIQLS). Results After a median follow-up time of 6.7 years (IQR 3.3-16.6), 34 women completed the questionnaire. The mean (SD) Wexner score was 5.2 +/- 4.7 and the mean (SD) St. Mark's score was 6.8 +/- 5.7. Women with a Wexner score >= 9 had a significantly lower QoL score in all domains of the FIQLS compared to women with a Wexner score < 9 (p < 0.001). Postoperative complications were experienced by 37%. Ten women developed a fistula of which nine required surgical treatment. Conclusions An early secondary repair of the anal sphincter can be performed within 21 days of delivery with functional long-term outcomes comparable to those following a late sphincter repair. However, there is an imminent risk of complications, mainly fistulas, which should be taken into consideration when choosing the ideal timing of the repair.
英文关键词	OASIS Sphincter repair Early secondary sphincter repair Anal incontinence Fecal incontinence Quality of life Pelvic floor dysfunction Obstetric sphincter injuries
类型	Article
语种	英语
国家	Denmark
收录类别	SCI-E
WOS记录号	WOS:000511042100002
WOS关键词	FECAL INCONTINENCE ; OVERLAPPING SPHINCTEROPLASTY ; URINARY-INCONTINENCE ; POSTPARTUM ; WOMEN ; 3RD-DEGREE ; CONTINENCE ; MANAGEMENT ; EPISIOTOMY ; RUPTURE
WOS类目	Gastroenterology & Hepatology ; Surgery
WOS研究方向	Gastroenterology & Hepatology ; Surgery
EI主题词	2020-02-04
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/312825
作者单位	1.Aarhus Univ Hosp, Dept Gynecol & Obstet, Pelv Floor Unit, DK-8200 Aarhus N, Denmark; 2.Aarhus Univ Hosp, Dept Surg, Pelv Floor Unit, DK-8200 Aarhus N, Denmark
推荐引用方式 GB/T 7714	Barbosa, M.,Glavind-Kristensen, M.,Christensen, P.. Early secondary repair of obstetric anal sphincter injury: postoperative complications, long-term functional outcomes, and impact on quality of life[J],2020,24(3):221-229.
APA	Barbosa, M.,Glavind-Kristensen, M.,&Christensen, P..(2020).Early secondary repair of obstetric anal sphincter injury: postoperative complications, long-term functional outcomes, and impact on quality of life.TECHNIQUES IN COLOPROCTOLOGY,24(3),221-229.
MLA	Barbosa, M.,et al."Early secondary repair of obstetric anal sphincter injury: postoperative complications, long-term functional outcomes, and impact on quality of life".TECHNIQUES IN COLOPROCTOLOGY 24.3(2020):221-229.