干旱区生态环境知识资源中心(Arid): Early secondary repair of obstetric anal sphincter injuries (OASIs): experience and a review of the literature

Arid

DOI	10.1007/s00192-021-04822-x
	Early secondary repair of obstetric anal sphincter injuries (OASIs): experience and a review of the literature
	Okeahialam, Nicola Adanna; Thakar, Ranee; Sultan, Abdul H.
通讯作者	Sultan, AH (corresponding author), Croydon Univ Hosp, Thornton Heath CR7 7YE, England. ; Sultan, AH (corresponding author), St Georges Univ London, London, England.
来源期刊	INTERNATIONAL UROGYNECOLOGY JOURNAL
ISSN	0937-3462
EISSN	1433-3023
出版年	2021
英文摘要	Introduction and hypothesis Secondary anal sphincter repair for a dehisced obstetric anal sphincter injury (OASI) is required following 2.6% of primary repairs. There is growing evidence that instead of delaying repair for 3-6 months, early secondary repair of the anal sphincter can be completed within 14 days. Our aims were to review the literature and to describe experiences in our unit. Methods This is a narrative review of all published cases reporting outcomes of early secondary repair of dehisced OASIs. In addition, we report a series from Croydon University Hospital (CUH) between 2010 and 2019. Results Ninety patients from five studies were identified on literature search. Six patients from CUH were included in the case series. Overall, the most common complications following secondary repair included skin dehiscence [10.3% (n = 10)], infection [5.2% (n = 5)] and fistula formation [8.2% (n = 8)]. In our case series, following secondary repair, normal manometric incremental squeeze pressure was found in five women (83%). Also, on endoanal ultrasound, internal anal sphincter (IAS) defects were found in 75% with a history of IAS injury (n = 4). There were no full-thickness external anal sphincter defects. Compared to those requiring primary repair alone, residual defects were significantly larger in those who also underwent secondary repair (Starck score 2.1 vs. 5.7, p = 0.01). Conclusion Early secondary repair is a feasible surgical procedure for the reconstruction of dehisced OASIs. This case series and review of the literature can be used to support clinicians in the management of primary OASI repair dehiscence.
英文关键词	Obstetric anal sphincter injury Anal sphincter repair Early secondary sphincter repair Anal incontinence
类型	Review ; Early Access
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000650816500004
WOS关键词	ANTERIOR SPHINCTEROPLASTY ; FECAL INCONTINENCE ; 3RD-DEGREE
WOS类目	Obstetrics & Gynecology ; Urology & Nephrology
WOS研究方向	Obstetrics & Gynecology ; Urology & Nephrology
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/352284
作者单位	[Okeahialam, Nicola Adanna; Thakar, Ranee; Sultan, Abdul H.] Croydon Univ Hosp, Thornton Heath CR7 7YE, England; [Thakar, Ranee; Sultan, Abdul H.] St Georges Univ London, London, England
推荐引用方式 GB/T 7714	Okeahialam, Nicola Adanna,Thakar, Ranee,Sultan, Abdul H.. Early secondary repair of obstetric anal sphincter injuries (OASIs): experience and a review of the literature[J],2021.
APA	Okeahialam, Nicola Adanna,Thakar, Ranee,&Sultan, Abdul H..(2021).Early secondary repair of obstetric anal sphincter injuries (OASIs): experience and a review of the literature.INTERNATIONAL UROGYNECOLOGY JOURNAL.
MLA	Okeahialam, Nicola Adanna,et al."Early secondary repair of obstetric anal sphincter injuries (OASIs): experience and a review of the literature".INTERNATIONAL UROGYNECOLOGY JOURNAL (2021).