Methods of repair for obstetric anal sphincter injury

Outcomes of primary anal sphincter repair after obstetric injury and evaluation of a novel three-choice assessment

“…There was no statistical difference between the two repair techniques at 6 months. This is in contrast with some studies that found the overlapping technique was superior according to the symptoms at 12 months [ 19 ]. However, the milder ruptures were more often repaired using the end-to-end technique and the more severe ruptures with overlapping.…”

Outcomes of primary anal sphincter repair after obstetric injury and evaluation of a novel three-choice assessment

“…There was no statistical difference between the two repair techniques at 6 months. This is in contrast with some studies that found the overlapping technique was superior according to the symptoms at 12 months [ 19 ]. However, the milder ruptures were more often repaired using the end-to-end technique and the more severe ruptures with overlapping.…”

Temporal endosonographic evaluation of anal sphincter integrity after primary repair for obstetric ruptures: a case for specific training of obstetricians

“…It is also unclear if the IAS should be sutured separately or en-masse with the EAS. In the present study no differences between overlapping and approximation techniques were noted in number of EAS or IAS defects [43].…”

Third‐ and fourth‐degree tears: A review of the current evidence for prevention and management

“…A systematic review of six studies found that immediate primary overlap repair compared to end‐to‐end repair of OASI appears to be associated with a reduced risk of faecal urgency and anal incontinence symptoms at 12 months. However, at 36 months there appears to be no difference in symptoms between the two techniques but this meta‐analysis only included two small trials …”

Outcomes of primary anal sphincter repair after obstetric injury and evaluation of a novel three-choice assessment

“…There was no statistical difference between the two repair techniques at 6 months. This is in contrast with some studies that found the overlapping technique was superior according to the symptoms at 12 months [ 19 ]. However, the milder ruptures were more often repaired using the end-to-end technique and the more severe ruptures with overlapping.…”

Temporal endosonographic evaluation of anal sphincter integrity after primary repair for obstetric ruptures: a case for specific training of obstetricians

“…It is also unclear if the IAS should be sutured separately or en-masse with the EAS. In the present study no differences between overlapping and approximation techniques were noted in number of EAS or IAS defects [43].…”

Third‐ and fourth‐degree tears: A review of the current evidence for prevention and management

“…A systematic review of six studies found that immediate primary overlap repair compared to end‐to‐end repair of OASI appears to be associated with a reduced risk of faecal urgency and anal incontinence symptoms at 12 months. However, at 36 months there appears to be no difference in symptoms between the two techniques but this meta‐analysis only included two small trials …”

Outcomes of primary anal sphincter repair after obstetric injury and evaluation of a novel three-choice assessment

“…There was no statistical difference between the two repair techniques at 6 months. This is in contrast with some studies that found the overlapping technique was superior according to the symptoms at 12 months [ 19 ]. However, the milder ruptures were more often repaired using the end-to-end technique and the more severe ruptures with overlapping.…”

Temporal endosonographic evaluation of anal sphincter integrity after primary repair for obstetric ruptures: a case for specific training of obstetricians

“…It is also unclear if the IAS should be sutured separately or en-masse with the EAS. In the present study no differences between overlapping and approximation techniques were noted in number of EAS or IAS defects [43].…”

Third‐ and fourth‐degree tears: A review of the current evidence for prevention and management

“…A systematic review of six studies found that immediate primary overlap repair compared to end‐to‐end repair of OASI appears to be associated with a reduced risk of faecal urgency and anal incontinence symptoms at 12 months. However, at 36 months there appears to be no difference in symptoms between the two techniques but this meta‐analysis only included two small trials …”