Immediate Repair of Obstetric Anal Sphincter Rupture: Medium-Term Outcome of the Overlap Technique

Kairaluoma, Matti I.; Raivio, Pirkko; Aarnio, Markku; Kellokumpu, Ilmo

doi:10.1007/s10350-004-0596-x

Cited by 30 publications

(19 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Based on the present and previous results, [32][33][34] we suggest that the overlap technique should be adopted as the method of choice for primary sphincter repair after obstetric tear and close cowork between obstetricians and colorectal surgeons is essential. Moreover, in patients with poor clinical outcome, EAUS is the best method to evaluate the anatomic result of sphincter reconstruction.…”

Section: Discussionmentioning

confidence: 71%

“…Three studies have shown good results from the primary overlap technique. [32][33][34] Conversely, two prospective studies comparing overlap and end-to-end techniques showed no difference in postoperative result. 38,39 These two studies had a follow-up time of only three to four months.…”

Section: Discussionmentioning

confidence: 96%

“…18 Preliminary results of primary sphincter repair using the overlap technique, regarding both symptoms and the postoperative ultrasound findings, have been promising. [32][33][34] We trained obstetricians in three maternity hospitals attached to Helsinki University Central Hospital to adopt the overlap technique for primary sphincter rupture repair and report the following prospective analysis of the results.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Overlap Technique Improves Results of Primary Surgery after Obstetric Anal Sphincter Tear

Lepistö¹,

Pinta²,

Kylänpää³

et al. 2008

Diseases of the Colon &Amp; Rectum

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 96%

mentioning

confidence: 99%

See 1 more Smart Citation

Overlap Technique Improves Results of Primary Surgery after Obstetric Anal Sphincter Tear

Lepistö¹,

Pinta²,

Kylänpää³

et al. 2008

Diseases of the Colon &Amp; Rectum

View full text Add to dashboard Cite

show abstract

“…Generally speaking, obstetricians commonly use the former [52], while the latter is the predominant technique of colorectal surgeons [53]. Outcome studies show varying results for the two techniques [54][55][56].…”

Section: Sphincter Rupture and Repairmentioning

confidence: 99%

Fecal incontinence: a review of prevalence and obstetric risk factors

et al. 2005

View full text Add to dashboard Cite

Anal incontinence (AI) is a significant problem that causes social and hygienic inconvenience. The true prevalence of AI is difficult to estimate due to inconsistencies in research methods, but larger studies suggest a rate of 2-6% for incontinence to stool. There is a significant association between sonographically detected anal sphincter defects and symptoms of AI. The intrapartum factors most consistently associated with a higher risk of AI include: forceps delivery, third or fourth degree tears, and length of the second stage of labor. Fetal weight of > 4,000 g is also associated with AI. Repair of the sphincter can be performed in either an overlapping or an end-to-end fashion, with similar results for both methods. The role of cesarean delivery for the prevention of AI remains unclear, and further study should be devoted to this question.

show abstract

“…The incidence of anal incontinence is increased with anal sphincter laceration (ASL). Studies indicate that 23-60% of women diagnosed with a third-or fourth-degree obstetrical laceration reported anal incontinence after 1 year despite primary repair of their injury [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Postpartum anal sphincter lacerations in a population with minimal exposure to episiotomy and operative vaginal delivery

Lewis¹,

Williams²,

Rogers

2007

Int Urogynecol J

View full text Add to dashboard Cite

This case-control study was designed to identify risk factors for anal sphincter lacerations (ASL) in a multicultural population where episiotomies and operative vaginal deliveries are rarely performed. Cases were subjects with ASL delivered between July 1997 and June 2003. Two controls were selected for each case matched for gestational age. Independent variables collected included age, race/ethnicity, parity, tobacco use, medical conditions, episiotomy, operative vaginal delivery, epidural use, and infant weight. One thousand and sixty-six subjects met the inclusion criteria. The risk of ASL increased with increasing maternal age (Odds ratio [OR] 1.09 per year, 95% confidence interval [CI] 1.06, 1.12) and increasing infant weight (OR 1.09 per 100 g, 95% CI 1.06, 1.13). Multiparity was protective (P1 vs P2 OR 0.19, 95% CI 0.13, 0.28, and > or =P3 vs P1 OR 0.04, 95% CI 0.02, 0.11). Hispanic and Native American women were at increased risk for ASL (OR 2.08, 95% CI 1.41, 3.09 and OR 1.92, 95% CI 1.07, 3.45, respectively).

show abstract

Immediate Repair of Obstetric Anal Sphincter Rupture: Medium-Term Outcome of the Overlap Technique

Abstract: The median-term outcome of primary overlap repair for obstetric sphincter rupture is good; however, larger, randomized studies with a longer follow-up are needed to evaluate the advantage of this technique over the end-to-end technique.

Cited by 30 publications

References 34 publications

Overlap Technique Improves Results of Primary Surgery after Obstetric Anal Sphincter Tear

Overlap Technique Improves Results of Primary Surgery after Obstetric Anal Sphincter Tear

Fecal incontinence: a review of prevalence and obstetric risk factors

Postpartum anal sphincter lacerations in a population with minimal exposure to episiotomy and operative vaginal delivery

Contact Info

Product

Resources

About