干旱区生态环境知识资源中心(Arid): Incidence and risk factors for secondary failure after acute obstetric sphincter injury repair

Arid

DOI	10.1111/codi.16313
	Incidence and risk factors for secondary failure after acute obstetric sphincter injury repair - an audit of 239 women
	Jain, Anshini; Lew, Chen; Thungathruthi, Kaushik; Ng, Suat Chin; Hiscock, Richard; Mirbagheri, Naseem
通讯作者	Jain, A
来源期刊	COLORECTAL DISEASE
ISSN	1462-8910
EISSN	1463-1318
出版年	2023
卷号	25 期号:1 页码:95-101
英文摘要	Aim: The rate of secondary failure after obstetric sphincter injury repair is unknown, with the literature reporting rates ranging from 0.1% to 53%. We aimed to perform an audit to identify the rate and risk factors for failure of sphincter repair in a cohort of postpartum women using endoanal ultrasound (EAUS) and manometry, assessing the risk factors and impact of these events. Method: Prospective data were collected within a 2 year period from patients who attended the perineal clinic at Eastern Health. Variables of primary repair and presence of postpartum complications were recorded and subsequently analysed. Results: Of 239 patients with obstetric anal sphincter injury (OASI) included, 100 (41.8%) had EUAS evidence of sphincter defects. Only 20% with secondary repair failure were symptomatic with faecal or flatal incontinence at a mean follow-up of 23.4 months postpartum. Patients with secondary repair failure had lower anal resting (p = 0.006) and maximum squeeze pressures compared with patients with intact repairs (p < 0.001). In terms of variables that were investigated, namely location, operator hierarchy, type of repair and material used, none had a statistically significant correlation with secondary repair failure of OASI. Postpartum complications had an overall incidence of 12.7%, and those with any complication were found to have an increased rate of secondary failure of repair (p = 0.157). Conclusion: Using EAUS to confirm secondary failure of repair, incidence was 41.4% in this cohort. There were no identifiable modifiable variables that reduced the risk of secondary failure of repair. Further prospective research with increased sample size and longer follow-up periods is required to assess the validity of the findings.
英文关键词	obstetric sphincter injury postpartum endoanal ultrasound manometry incidence
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000852988200001
WOS关键词	FECAL INCONTINENCE ; VAGINAL DELIVERY ; TERM ; OASIS
WOS类目	Gastroenterology & Hepatology ; Surgery
WOS研究方向	Gastroenterology & Hepatology ; Surgery
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/395792
推荐引用方式 GB/T 7714	Jain, Anshini,Lew, Chen,Thungathruthi, Kaushik,et al. Incidence and risk factors for secondary failure after acute obstetric sphincter injury repair - an audit of 239 women[J],2023,25(1):95-101.
APA	Jain, Anshini,Lew, Chen,Thungathruthi, Kaushik,Ng, Suat Chin,Hiscock, Richard,&Mirbagheri, Naseem.(2023).Incidence and risk factors for secondary failure after acute obstetric sphincter injury repair - an audit of 239 women.COLORECTAL DISEASE,25(1),95-101.
MLA	Jain, Anshini,et al."Incidence and risk factors for secondary failure after acute obstetric sphincter injury repair - an audit of 239 women".COLORECTAL DISEASE 25.1(2023):95-101.