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- W2490255614 abstract "This chapter presents a case of a 48-year-old woman, with a history of two vaginal births, presenting with fecal urgency, soiling, and flatal incontinence. She had extension of an episiotomy to a third-degree tear with a forceps delivery 10 years ago; the tear was sutured with an end-to-end technique. Sphincter damage can potentially occur due to any anorectal or pelvic trauma. Overlapping sphincteroplasty is the most widely accepted procedure for secondary anal repair (especially with an isolated EAS lesion) because of its superior long-term functional outcomes, compared with direct apposition repair. Postoperatively, ambulation is encouraged, while long periods of sitting are discouraged. The wound is not packed, so patients may need a sanitary pad to protect clothing. For the patient in this case, overlapping sphincteroplasty without fecal diversion was performed, and produced good results." @default.
- W2490255614 created "2016-08-23" @default.
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- W2490255614 date "2016-02-12" @default.
- W2490255614 modified "2023-09-25" @default.
- W2490255614 title "Secondary Anal Sphincter Repair" @default.
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- W2490255614 doi "https://doi.org/10.1002/9781118298565.ch130" @default.
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