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Title: [Applicability of 3/4D transperineal ultrasound for the diagnosis of anal sphincter injury during the immediate pospartum].
Other Titles: Aplicabilidad de la ecografía transperineal en 3/4D para el diagnóstico de lesiones del esfínter anal durante el posparto inmediato.
Authors: García-Mejido, José Antonio
Gutiérrez Palomino, Laura
Fernández Palacín, Ana
Sainz-Bueno, José Antonio
Keywords: 3D transperineal ultrasound;Anal sphincter;Anal sphincter injuries;Anal sphincter suture;Ecografía transperineal 3D;Esfínter anal;Lesiones del esfínter anal;Sutura del esfínter anal
metadata.dc.subject.mesh: Adult
Anal Canal
Asymptomatic Diseases
Delivery, Obstetric
Extraction, Obstetrical
Hospitals, University
Imaging, Three-Dimensional
Multidetector Computed Tomography
Postpartum Period
Prospective Studies
Suture Techniques
Wound Closure Techniques
Young Adult
Issue Date: 5-Jan-2016
Abstract: The most common cause of anal sphincter injuries in women is vaginal birth. Endo-anal ultrasound is currently used for the diagnosis of anal sphincter defect. However, due to the inconvenience caused, it is not an applicable technique during the immediate post-partum. The aim of this study was to determine whether transperineal ultrasound in 3/4D is a useful diagnostic method for the assessment of anal sphincter during the immediate post-partum. A prospective study was conducted on the vaginal deliveries performed between September 2012 and June 2013 in the Valme University Hospital (Seville). Obstetric and foetal parameters that could influence the onset of perineal tears were studied. The patients underwent a transperineal 3/4D ultrasound and a multislice study (48hours after birth). The study included 146 puerperal women. The sphincter complex was assessed in all of them during the immediate post-partum. External anal injuries were observed in 10.3% of the cases. In 8.2% of cases, the primary suture of the external anal sphincter was detected during ultrasound examination, and 2.1% of asymptomatic lesions were diagnosed only with post-partum ultrasound. None of the patients reported discomfort or pain. The 3-dimensional transperineal ultrasound is helpful in determining the primary repair of the anal sphincter during the immediate post-partum, with no discomfort for patients, as well as for establishing those early sphincter injuries that go unnoticed during vaginal delivery.
metadata.dc.identifier.doi: 10.1016/j.circir.2015.09.010
Appears in Collections:Producción 2020

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