干旱区生态环境知识资源中心(Arid): Management and consequences of obstetrical anal sphincter injuries: Review

Arid

DOI	10.1016/j.jviscsurg.2020.10.010
	Management and consequences of obstetrical anal sphincter injuries: Review
	Viannay, P.; de la Codre, F.; Brochard, C.; Thubert, T.; Meurette, G.; Legendre, G.; Venara, A.
通讯作者	Venara, A (corresponding author), CHU Angers, Dept Visceral & Endocrine Surg, 4 Rue Larrey, F-49933 Angers 9, France.
来源期刊	JOURNAL OF VISCERAL SURGERY
ISSN	1878-7886
出版年	2021
卷号	158 期号:3 页码:231-241
英文摘要	Obstetrical anal sphincter injuries (OASI), formerly referred to as completeor incomplete perineal tears, are a frequent complication of childbirth. They can lead to intestinal consequences (anal incontinence, ano-genital fistula) or sexual consequences (dys-pareunia, genital pain). The complexity of management of OASI lies in the multi-factorial nature of these consequences but also in the frequently lengthy interval before their appearance, often long after childbirth. Indeed, while 2.4% of women in childbirth develop OASI, up to 61% of them will present with anal incontinence15 to 25 years after childbirth. Immediate or delayed repair of the sphincter and perineum within a few hours of injury is therefore the rule, but there is no consensus on longer-term management. The patient must be educated on preventive actions (avoidance of pushing or straining, regularization of stool transit, muscle strengthening, etc.). Early detection of anal incontinence leads to prompt management, which is more effective. This review aims to synthesize the information necessary to provide clear and up-to-date patient information on OASI (risk factors and prevalence), the management of OASI, and the management of eventual complications in the setting of dedicated specialty consultations. Dedicated post-OASI consultations by a specialist in ano-perineal pathologies could therefore become a first step in the development of care for women, particularly by removing the shameful nature of the symptoms. (c) 2020 Elsevier Masson SAS. All rights reserved.
英文关键词	Obstetrical injury Anal sphincter Anal incontinence Ano-vaginal fistula
类型	Review
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000655663100003
WOS关键词	SACRAL NERVE-STIMULATION ; FECAL INCONTINENCE ; RECTOVAGINAL FISTULA ; VAGINAL DELIVERY ; FRENCH VERSION ; POSTPARTUM ; NEUROMODULATION ; REPAIR ; OASIS ; TEARS
WOS类目	Surgery
WOS研究方向	Surgery
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/351040
作者单位	[Viannay, P.; Venara, A.] CHU Angers, Dept Visceral & Endocrine Surg, 4 Rue Larrey, F-49933 Angers 9, France; [Viannay, P.; Venara, A.] Fac Sante Angers, Dept Med, Angers, France; [de la Codre, F.; Meurette, G.] CHU Nantes, Hotel Dieu, IMAD, Digest & Endocrine Surg Clin, Pl Alexis Ricordeau, F-44093 Nantes 01, France; [Brochard, C.] CHU Pontchaillou, Dept Gastroenterol, 2 Rue Henri Le Guillou, F-35000 Rennes, France; [Thubert, T.] CHU Nantes, Dept Obstet Gynecol, Pl Alexis Ricordeau, F-44000 Nantes, France; [Meurette, G.; Venara, A.] Fac Med, UMR INSERM U1235, 1 Rue Gaston Veil, F-44035 Nantes, France; [Legendre, G.] CHU Angers, Dept Obstet Gynecol, 4 Rue Larrey, F-49933 Angers 9, France
推荐引用方式 GB/T 7714	Viannay, P.,de la Codre, F.,Brochard, C.,et al. Management and consequences of obstetrical anal sphincter injuries: Review[J],2021,158(3):231-241.
APA	Viannay, P..,de la Codre, F..,Brochard, C..,Thubert, T..,Meurette, G..,...&Venara, A..(2021).Management and consequences of obstetrical anal sphincter injuries: Review.JOURNAL OF VISCERAL SURGERY,158(3),231-241.
MLA	Viannay, P.,et al."Management and consequences of obstetrical anal sphincter injuries: Review".JOURNAL OF VISCERAL SURGERY 158.3(2021):231-241.