sphincter disruption
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2016 ◽  
pp. 177-180
Author(s):  
Kim Gorissen
Keyword(s):  


2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Shamir O. Cawich ◽  
Dwayne Wright ◽  
Santosh Kulkarni ◽  
Carol Rattray ◽  
Ian Bambury ◽  
...  

Background. There is a high incidence of failure after repair of severe perineal lacerations (SPLs). A tertiary referral hospital in the Caribbean introduced guidelines in an attempt to improve outcomes. We performed an audit of SPL repairs at this centre in an attempt to determine the effect on repair failure. Methods. All patients with SPL repairs between November 1, 2007, and December 30, 2012, were identified. The primary aim was to determine the incidence of failed repairs (wound dehiscence, anal sphincter disruption, rectovaginal fistula, and/or faecal incontinence). The Cleveland Clinic Incontinence Score (CCIS) was used to assess continence at discharge and 24 weeks after repair. Data were analyzed with SPSS version 12. Results. There were 8108 vaginal deliveries, 23 third-degree injuries, and 3 fourth-degree injuries. Three patients experienced a repair failure. Notably, 69% of surgeons chose an inappropriate suture for sphincter repair. Conclusions. Experienced operators are performing repairs, but there is a high prevalence of inappropriate suture choice for repairs. A targeted educational campaign may be necessary to remind clinicians of the best practice in repair techniques.



2010 ◽  
Vol 7 (2) ◽  
pp. 151-168
Author(s):  
Samy Saad ◽  
Nancy Mohamed Ali Rund ◽  
Ahmed Samir Ibrahim ◽  
Khalid A Ahmad


2010 ◽  
Vol 32 (1) ◽  
pp. 21-27 ◽  
Author(s):  
Thao Nguyen ◽  
Victoria L. Handa ◽  
Nancy Hueppchen ◽  
Geoffrey W. Cundiff


2008 ◽  
Vol 394 (3) ◽  
pp. 535-538 ◽  
Author(s):  
D. N. Samarasekera ◽  
M. T. Bekhit ◽  
J. P. Preston ◽  
C. T. M. Speakman


2008 ◽  
Vol 12 (3) ◽  
pp. 211-215 ◽  
Author(s):  
D. N. Samarasekera ◽  
Y. Wright ◽  
R. H. Lowndes ◽  
K. P. Stanley ◽  
P. Preston ◽  
...  


2008 ◽  
Vol 51 (6) ◽  
pp. 924-927 ◽  
Author(s):  
Véronique Vitton ◽  
Julie Gigout ◽  
Jean-Charles Grimaud ◽  
Michel Bouvier ◽  
Ariadne Desjeux ◽  
...  


2003 ◽  
Vol 189 (6) ◽  
pp. 1543-1549 ◽  
Author(s):  
Dee E Fenner ◽  
Becky Genberg ◽  
Pavna Brahma ◽  
Lorri Marek ◽  
John O.L DeLancey


Author(s):  
Rosemary Harkin ◽  
Myra Fitzpatrick ◽  
P.Ronan O’Connell ◽  
Colm O’Herlihy


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