Delayed sphincter repair for obstetric ruptures: analysis of failure

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
T PintaP Luukkonen

Abstract

The aim of this study was to examine the clinical results after anterior anal sphincter repair in patients with obstetric trauma and to evaluate possible risk factors for poor outcome. In years 1990-99 anterior anal sphincter repair for anal incontinence due to obstetric trauma was performed in 39 patients at Helsinki University Central Hospital. Clinical examination with Parks' classification and patients' questionnaire with endoanal ultrasound (EAUS) were done before and after surgery. Pudendal nerve terminal motor latency (PNTML) was measured postoperatively. The median follow-up time after the operation was 22 months (range 2-99). The follow-up results of the patients' questionnaire for 12 patients (31%) were good, for 15 patients (38%) acceptable and for 12 patients (31%) poor. Postoperative EAUS showed sphincter overlap in 28 (72%) patients but a defect was still found in 11 (28%) patients. A defect found on postoperative EAUS correlated with poor clinical result according to Parks' (R = 0.8, P < 0.01) and patients' questionnaire results (R = 0.7, P < 0.01). Patients with poor clinical results (Parks III/IV) were statistically significantly older (median 63 years, range 26-73) than those with favourable results (Parks I/I...Continue Reading

References

May 1, 1992·Diseases of the Colon and Rectum·M PescatoriA Mentasti
Sep 1, 1991·Diseases of the Colon and Rectum·J W FleshmanI J Kodner
Mar 1, 1991·The British Journal of Surgery·P J LawC I Bartram
Aug 1, 1988·The British Journal of Surgery·S LaurbergM M Henry
Jul 1, 1987·Diseases of the Colon and Rectum·M E PezimD M Ilstrup
Mar 1, 1987·Diseases of the Colon and Rectum·J Christiansen, I K Pedersen
Sep 1, 1985·The British Journal of Surgery·M Swash
Jul 1, 1995·Gut·C I Bartram, A H Sultan
Sep 10, 1994·Lancet·M A Kamm
Aug 1, 1994·The British Journal of Surgery·A F EngelR J Nicholls
Nov 1, 1994·Diseases of the Colon and Rectum·C SimmangJ W Fleshman
Jan 1, 1993·Diseases of the Colon and Rectum·J M Jorge, S D Wexner
Apr 1, 1996·The British Journal of Surgery·L OliveiraS D Wexner
Oct 1, 1996·Diseases of the Colon and Rectum·N NikiteasM R Keighley
Dec 1, 1996·Diseases of the Colon and Rectum·P J Sitzler, J P Thomson
Dec 22, 1998·Diseases of the Colon and Rectum·R GillilandS D Wexner
Feb 23, 1999·The British Journal of Surgery·G PinedoM A Kamm
Oct 12, 1999·Radiographics : a Review Publication of the Radiological Society of North America, Inc·E RociuJ S Laméris
Mar 25, 2000·Diseases of the Colon and Rectum·C J VaizeyR J Nicholls
Dec 8, 2011·Journal of the Korean Surgical Society·Moo-Kyung SeongHee-Kyung Joh
Sep 1, 1999·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland· Cook Mortensen

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Citations

Feb 27, 2013·International Journal of Colorectal Disease·Kirsi LehtoPetri Aitola
Mar 5, 2005·Diseases of the Colon and Rectum·Luigi ZorcoloDavid C C Bartolo
Sep 29, 2006·Diseases of the Colon and Rectum·Richard L NelsonSylvia E Furner
Aug 4, 2007·Diseases of the Colon and Rectum·Joe J TjandraUNKNOWN Standards Practice Task Force of The American Society of Colon and Rectal Surgeons
Sep 18, 2007·Diseases of the Colon and Rectum·Jane J Y TanJoe J Tjandra
Jan 24, 2008·Diseases of the Colon and Rectum·A LepistöP Luukkonen
Aug 10, 2010·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Suchita ChaseBenjamin Perakath
Jan 25, 2008·Annals of Surgery·Thomas C DuddingMichael A Kamm
Feb 24, 2009·Gastrointestinal Endoscopy Clinics of North America·Rodrigo A Pinto, Dana R Sands
May 20, 2008·Obstetrics and Gynecology Clinics of North America·Christine D Hannaway, Tracy L Hull
Sep 2, 2004·Alimentary Pharmacology & Therapeutics·K J DavisJ Poloniecki
Apr 29, 2015·Current Problems in Surgery·Scott R SteeleNina S Jacobson
Dec 17, 2008·Expert Review of Gastroenterology & Hepatology·Richelle J F Felt-Bersma
Feb 19, 2010·The Cochrane Database of Systematic Reviews·Richard L NelsonCindy Farquhar
Feb 23, 2010·Diseases of the Colon and Rectum·Carlo RattoGiovanni Battista Doglietto
Apr 22, 2016·Acta Obstetricia Et Gynecologica Scandinavica·Jaan KirssMikael Victorzon
Jul 6, 2019·Techniques in Coloproctology·R L NelsonM Patnam
Sep 15, 2010·Deutsches Ärzteblatt International·Michael ProbstGerd Kolbert

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