Open AccessResults of surgical treatment of anal sphincter injury following vaginal delivery at Hanoi Medical University Hospital: a case series report
Author(s) -
Tran Ngoc Dung,
Tran Bao Long,
Luu Quang Dung,
Nguyen Thi Thu Vinh,
Nguyen Duc Phan
Publication year - 2021
Publication title -
nghiên cứu y học
Language(s) - English
Resource type - Journals
ISSN - 2354-080X
DOI - 10.52852/tcncyh.v148i12.381
Subject(s) - medicine , fecal incontinence , anal sphincter , anal canal , sphincter , surgery , anorectal manometry , defecation , rectum
The repair of sphincter injury following vaginal delivery is often inadequate or the injury was undetected. The consequence is fecal incontinence. In this descriptive study, five patients underwent sphincter repair by the “overlap” technique. Evaluation of postoperative outcomes at 3 and 12 months showed that the Wexner fecal incontinence score at 17 - 20 score decreased to 0 - 6 score. Transperineal ultrasound showed that all five patients healed well. Measurement of anal manometry, functional anal canal length, resting anal pressures and squeezing anal pressures was better after surgery.