UK survey of colorectal surgeons on the management of acute obstetric anal sphincter injuries.
Colorectal Dis
; 26(1): 130-136, 2024 Jan.
Article
em En
| MEDLINE
| ID: mdl-38148521
ABSTRACT
AIM:
The role of colorectal surgeons in the management of acute obstetric anal sphincter injury (OASI) is an ongoing debate. Their expertise in operating in the anorectal region lends itself to assisting in OASI repair. The aim of this study was to establish the current involvement and recommended management of acute OASI by colorectal surgeons.METHOD:
An online survey of consultant colorectal surgeons was sent to members of the Pelvic Floor Society to assess current involvement in acute OASI management and repair.RESULTS:
Forty completed surveys were collated and analysed. Sixty-five per cent of respondents had seen an acute OASI since being a consultant and 50% stated they were involved in the repair of OASI less than once per year. 37.5% felt that a de-functioning stoma was still necessary sometimes. Many agreed with current guidelines for OASI repair in terms of antibiotics, laxatives and follow-up.CONCLUSIONS:
Colorectal surgeons have varied opinions on the management of OASI. We suggest that multidisciplinary training of obstetricians and colorectal surgeons could lead to more collaboration regarding the management of women with acute OASI.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Colorretais
/
Incontinência Fecal
/
Cirurgiões
/
Complicações do Trabalho de Parto
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article