干旱区生态环境知识资源中心(Arid): Early Secondary Repair of Obstetric Anal Sphincter Injury Breakdown: Contemporary Surgical Techniques and Experiences From a Peripartum Subspecialty Clinic

Arid

DOI	10.1097/SPV.0000000000000921
	Early Secondary Repair of Obstetric Anal Sphincter Injury Breakdown: Contemporary Surgical Techniques and Experiences From a Peripartum Subspecialty Clinic
	Lewicky-Gaupp, Christina; Mueller, Margaret G.; Collins, Sarah A.; Tavathia, Meera; Geynisman-Tan, Julia; Kenton, Kimberly S.
通讯作者	Lewicky-Gaupp, C (corresponding author), Northwestern Univ, Feinberg Sch Med, Dept Obstet & Gynecol, Div Female Pelv Med & Reconstruct Surg, Chicago, IL 60611 USA.
来源期刊	FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY
ISSN	2151-8378
EISSN	2154-4212
出版年	2021
卷号	27 期号:2 页码:e333-e335
英文摘要	Objective To describe surgical technique and outcomes of early secondary repair of obstetric anal sphincter injury (OASIS) breakdown. Methods This was a case series of all women presenting to a subspecialty peripartum clinic within 2 months of an OASIS, who ultimately underwent secondary surgical repair between September 2013 and January 2018. Cases were identified using the following CPT codes: 57308 (transperineal fistula repair), 56910 (repair of the perineum), and 46750 (repair of anal sphincter). Four board-certified urogynecologists performed all surgical procedures using the same technique: demographics, delivery data, and preoperative and postoperative data were collected. Results Eighteen women were identified. The majority (16 [88.9%] of 18) were primiparous; 9 (50%) women underwent spontaneous vaginal delivery and 9 (50%) women underwent forceps-assisted vaginal delivery. Over 70% (13 [72.2%] of 18) suffered a 3rd-degree tear, whereas 5 (27.8%) of 18 had a 4th-degree laceration. The median time after delivery to specialty clinic presentation was 10 days (interquartile range, 5.3-52.5 days). All women were diagnosed with wound breakdown at their initial visit. Seven (38.9%) also had a concomitant rectovaginal fistula. Median time from diagnosis of wound breakdown to secondary operative revision was 19.5 days (interquartile range, 12-26.8 days). Seventeen (94.4%) of the 18 women underwent overlapping external anal sphincteroplasty with perineorrhaphy; of these, 7 (41.2%) also underwent concurrent repair of their rectovaginal fistula. One woman underwent perineorrhaphy alone. At 3 months postoperatively, no women had a wound breakdown or recurrent fistula. Conclusions In women with OASIS breakdown, early secondary repair is both feasible and successful with meticulous surgical technique.
英文关键词	obstetric anal sphincter injury early repair wound complications
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000618328300027
WOS类目	Obstetrics & Gynecology
WOS研究方向	Obstetrics & Gynecology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/350213
作者单位	[Lewicky-Gaupp, Christina; Mueller, Margaret G.; Collins, Sarah A.; Tavathia, Meera; Geynisman-Tan, Julia; Kenton, Kimberly S.] Northwestern Univ, Feinberg Sch Med, Dept Obstet & Gynecol, Div Female Pelv Med & Reconstruct Surg, Chicago, IL 60611 USA
推荐引用方式 GB/T 7714	Lewicky-Gaupp, Christina,Mueller, Margaret G.,Collins, Sarah A.,et al. Early Secondary Repair of Obstetric Anal Sphincter Injury Breakdown: Contemporary Surgical Techniques and Experiences From a Peripartum Subspecialty Clinic[J],2021,27(2):e333-e335.
APA	Lewicky-Gaupp, Christina,Mueller, Margaret G.,Collins, Sarah A.,Tavathia, Meera,Geynisman-Tan, Julia,&Kenton, Kimberly S..(2021).Early Secondary Repair of Obstetric Anal Sphincter Injury Breakdown: Contemporary Surgical Techniques and Experiences From a Peripartum Subspecialty Clinic.FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY,27(2),e333-e335.
MLA	Lewicky-Gaupp, Christina,et al."Early Secondary Repair of Obstetric Anal Sphincter Injury Breakdown: Contemporary Surgical Techniques and Experiences From a Peripartum Subspecialty Clinic".FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY 27.2(2021):e333-e335.