干旱区生态环境知识资源中心(Arid): Residual Defects of the Anal Sphincter Complex Following Primary Repair of Obstetrical Anal Sphincter Injuries at a Large Canadian Obstetrical Centre

Arid

DOI	10.1016/j.jogc.2021.01.011
	Residual Defects of the Anal Sphincter Complex Following Primary Repair of Obstetrical Anal Sphincter Injuries at a Large Canadian Obstetrical Centre
	Gold, Shira; Paquette, Joalee; Sobel, Mara; Alarab, May
通讯作者	Gold, S (corresponding author), Univ Toronto, Dept Obstet & Gynaecol, Toronto, ON, Canada.
来源期刊	JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA
ISSN	1701-2163
出版年	2021
卷号	43 期号:5 页码:596-600
英文摘要	Objectives: To determine the rates of residual anal sphincter defect following primary repair of obstetrical anal sphincter injury (OASIS), and to assess symptomatology in these patients. Methods: A retrospective observational study of patients who underwent primary repair of an OASIS sustained at Mount Sinai Hospital from January 2016 to June 2017. Records were reviewed for demographic and obstetrical data, symptoms of anal incontinence (AI), and the results of endoanal ultrasonography (EA-US). Results: One hundred and one women sustained an OASIS during the study period, of whom 53 had EA-US performed at Mount Sinai Hospital; 4 women were excluded from this analysis. There were 42 third-degree tears and 7 fourth-degree tears. EA-US revealed residual defects in 22 patients with third-degree tears and 5 patients with fourth-degree tears (52% vs. 71%; P = 0.44). Twelve patients with third-degree tears and 4 patients with fourth-degree tears reported AI (29% vs. 57%; P= 0.20). EA-US revealed no evidence of a tear in 14 patients clinically diagnosed with third-degree tears and 1 patient clinically diagnosed with a fourth-degree tear (33% vs. 14%). Conclusion: These data demonstrate deficiencies in diagnosis and repair of OASIS. Continued training for health care providers on identification and effective repair of OASIS may improve outcomes for women who experience this complication.
英文关键词	bowel incontinence anal sphincter ultrasonography quality of life obstetric delivery continuing medical education
类型	Article
语种	英语
收录类别	ESCI
WOS记录号	WOS:000651872400011
WOS关键词	VAGINAL DELIVERY ; RISK-FACTORS ; INCONTINENCE ; TEARS ; OASIS ; 3RD-DEGREE ; PERINEAL
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/2XILL650/352894
作者单位	[Gold, Shira; Paquette, Joalee; Sobel, Mara; Alarab, May] Univ Toronto, Dept Obstet & Gynaecol, Toronto, ON, Canada; [Sobel, Mara; Alarab, May] Mt Sinai Hosp, Dept Obstet & Gynaecol, Toronto, ON, Canada; [Alarab, May] Mt Sinai Hosp, Dept Obstet & Gynaecol, Div Urogynaecol, Toronto, ON, Canada
推荐引用方式 GB/T 7714	Gold, Shira,Paquette, Joalee,Sobel, Mara,et al. Residual Defects of the Anal Sphincter Complex Following Primary Repair of Obstetrical Anal Sphincter Injuries at a Large Canadian Obstetrical Centre[J],2021,43(5):596-600.
APA	Gold, Shira,Paquette, Joalee,Sobel, Mara,&Alarab, May.(2021).Residual Defects of the Anal Sphincter Complex Following Primary Repair of Obstetrical Anal Sphincter Injuries at a Large Canadian Obstetrical Centre.JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA,43(5),596-600.
MLA	Gold, Shira,et al."Residual Defects of the Anal Sphincter Complex Following Primary Repair of Obstetrical Anal Sphincter Injuries at a Large Canadian Obstetrical Centre".JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA 43.5(2021):596-600.