At a glance
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A Prospective, Randomized Study Comparing the Outcome of Overlap and End-to-end Repair in Anal Sphincter Rupture During Delivery
In Brief
A clinical study evaluating End-to-end repair of the external anal sphincter muscle and Overlap repair of the external anal sphincter muscle for Rupture and Childbirth. Completed, enrolled 160 participants across 1 site.
Detailed Summary
Rupture of the external anal sphincter occurs in about 4% percent of deliveries. It is not clear from other studies whether the results concerning anal function, e.g. fecal continence, are better with the overlap repair or end-to-end repair of the injured muscle. The researchers randomize women at birth to either overlap or end-to-end when the injury is recognized, and examine them one year later with special anal physiologic examinations and a validated questionnaire. The hypothesis is that the overlap technique is superior.
Study Details
Timeline
Interventions
Surgical procedure: End-to-end repair of the external anal sphincter muscle
Surgical procedure: Overlap repair of the external anal sphincter muscle