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A modified surgical approach to women with obstetric anal sphincter tears by separate suturing of external and internal anal sphincter. A modified approach to obstetric anal sphincter injury

Lindqvist, Pelle G. and Jernetz, Mats LU (2010) In BMC Pregnancy and Childbirth 10.
Abstract
Background: Long-term results after obstetric anal sphincter injury (OASI) are poor. We aimed to improve the long-term outcome after OASI by lessening symptoms of anal incontinence. Methods: In a prospective study at Malmo University Hospital, twenty-six women with at least grade 3B OASI were classified and sutured in a systematic way, including separate suturing of the internal and external sphincter muscles with monofilament absorbable sutures. The principal outcome assessed by answers given to six questions, was a difference in anal incontinence score, between the study group and two control groups (women with prior OASI [n = 180] and primiparous women delivered vaginally without a diagnose of OASI [n = 100]). Results: An anal... (More)
Background: Long-term results after obstetric anal sphincter injury (OASI) are poor. We aimed to improve the long-term outcome after OASI by lessening symptoms of anal incontinence. Methods: In a prospective study at Malmo University Hospital, twenty-six women with at least grade 3B OASI were classified and sutured in a systematic way, including separate suturing of the internal and external sphincter muscles with monofilament absorbable sutures. The principal outcome assessed by answers given to six questions, was a difference in anal incontinence score, between the study group and two control groups (women with prior OASI [n = 180] and primiparous women delivered vaginally without a diagnose of OASI [n = 100]). Results: An anal incontinence score of zero (i.e., no symptoms) was found in 74% of the study group, 47% of the OASI control group, and 66% of the vaginal control group (p = 0.02 and 0.5, as compared to the study group). Conclusions: A modified suturing technique was followed by significant improved one-year symptoms of anal incontinence as compared to historical cases. (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
in
BMC Pregnancy and Childbirth
volume
10
publisher
BioMed Central (BMC)
external identifiers
  • wos:000296445100001
  • scopus:77957370719
  • pmid:20828380
ISSN
1471-2393
DOI
10.1186/1471-2393-10-51
language
English
LU publication?
yes
additional info
The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Obstetrics and Gynaecology (013242700), Pediatrics/Urology/Gynecology/Endocrinology (013240400)
id
acd81051-da99-4097-a963-24a06db023c6 (old id 2213067)
date added to LUP
2016-04-01 12:56:16
date last changed
2022-05-07 06:32:29
@article{acd81051-da99-4097-a963-24a06db023c6,
  abstract     = {{Background: Long-term results after obstetric anal sphincter injury (OASI) are poor. We aimed to improve the long-term outcome after OASI by lessening symptoms of anal incontinence. Methods: In a prospective study at Malmo University Hospital, twenty-six women with at least grade 3B OASI were classified and sutured in a systematic way, including separate suturing of the internal and external sphincter muscles with monofilament absorbable sutures. The principal outcome assessed by answers given to six questions, was a difference in anal incontinence score, between the study group and two control groups (women with prior OASI [n = 180] and primiparous women delivered vaginally without a diagnose of OASI [n = 100]). Results: An anal incontinence score of zero (i.e., no symptoms) was found in 74% of the study group, 47% of the OASI control group, and 66% of the vaginal control group (p = 0.02 and 0.5, as compared to the study group). Conclusions: A modified suturing technique was followed by significant improved one-year symptoms of anal incontinence as compared to historical cases.}},
  author       = {{Lindqvist, Pelle G. and Jernetz, Mats}},
  issn         = {{1471-2393}},
  language     = {{eng}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Pregnancy and Childbirth}},
  title        = {{A modified surgical approach to women with obstetric anal sphincter tears by separate suturing of external and internal anal sphincter. A modified approach to obstetric anal sphincter injury}},
  url          = {{https://lup.lub.lu.se/search/files/3057899/2213175.pdf}},
  doi          = {{10.1186/1471-2393-10-51}},
  volume       = {{10}},
  year         = {{2010}},
}