When to assess residual anal sphincter defect after OASI by ultrasound

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064165%3A_____%2F22%3A10450323" target="_blank" >RIV/00064165:_____/22:10450323 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11110/22:10450323 RIV/00064211:_____/22:W0000037

Result on the web

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=8NfS2QrM8T" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=8NfS2QrM8T</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.ejogrb.2022.08.004" target="_blank" >10.1016/j.ejogrb.2022.08.004</a>

Result language

angličtina

Original language name

When to assess residual anal sphincter defect after OASI by ultrasound

Original language description

Objectives: Obstetrical anal sphincter injuries (OASIS) are complications of vaginal delivery. Unrepaired anal sphincter after delivery increases the risk of anal incontinence. The aim of our study is to search for residual defect after OASI repair by 4D introital ultrasound (US). We hypothesised that imaging prior to hospital discharge would show the same number of defects as assessment at 3 months. Study design: This is a retrospective analysis of 138 patients with immediate repair after OASIS. Since 2009, we have been routinely inviting all our patients with OASIS to the perineal clinic for postoperative follow-up. We scheduled the first visit before discharge from hospital and followed up with a second visit after three months. During both visits, patients underwent transperineal 4D ultrasound examination. We provided examination while at rest and during contraction; volumes were saved for further evaluation. Results: Eighty-one patients (58.7%) completed both exams and were included in the analysis. Residual external anal sphincter defect was found in 17.3% at the first visit versus 13.6% at the second (delayed) visit. We were not able to assess the sphincter in 9.9% at early versus none in the delayed examination. In 9.9%, the residual defect was not confirmed by the second examination, and in 4.9% the residual defect was missed by the first examination. Conclusions: In conclusion, we have found that a 3 month scan yields a smaller number of defects than a scan before discharge.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30214 - Obstetrics and gynaecology

Project

<a href="/en/project/NT12147" target="_blank" >NT12147: Specification of indications for vaginal reconstructive pelvic floor disorders surgery with synthetic implants</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2022

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

European Journal of Obstetrics &amp; Gynecology and Reproductive Biology

ISSN

0301-2115

e-ISSN

1872-7654

Volume of the periodical

277

Issue of the periodical within the volume

October

Country of publishing house

IE - IRELAND

Number of pages

4

Pages from-to

8-11

UT code for WoS article

000878863200003

EID of the result in the Scopus database

2-s2.0-85135920273