A Case of Severe Obstetric Anal Sphincter Injuries Repaired by Early Secondary Sphincteroplasty

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  • Tanabe Taro
    Showa University Koto Toyosu Hospital, Digestive Disease Center
  • Sakai Toru
    Showa University Koto Toyosu Hospital, Digestive Disease Center
  • Tokunaga Ryota
    Showa University Koto Toyosu Hospital, Digestive Disease Center
  • Ishida Sachiko
    Showa University Koto Toyosu Hospital, Digestive Disease Center
  • Hobo Takahiro
    Showa University Koto Toyosu Hospital, Digestive Disease Center
  • Nishi Takeshi
    Showa University Koto Toyosu Hospital, Perinatal Medical Center
  • Otsuki Katsufumi
    Showa University Koto Toyosu Hospital, Perinatal Medical Center
  • Yokoyama Noboru
    Showa University Koto Toyosu Hospital, Digestive Disease Center
  • Inoue Haruhiro
    Showa University Koto Toyosu Hospital, Digestive Disease Center

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Other Title
  • 早期肛門括約筋修復術により肛門機能を回復し得た分娩時肛門括約筋損傷（OASIs）の1例

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Abstract

<p>A 29-year-old woman, who underwent primary repair of the anal sphincter for perineal laceration 4 days after delivering her first child, developed fecal incontinence. A physical examination revealed a gross anorectal and vaginal deformity, which led to a diagnosis of anal sphincter failure associated with wound dehiscence. Early secondary sphincteroplasty was performed on the 8th day after delivery. Postoperatively, there was marked improvement in her fecal incontinence score, and she was discharged from the hospital without wound infection or complications. Early sphincter repair for anal sphincter injury during childbirth can restore anal function without temporary stoma, and may be useful in improving the patient's quality of life.</p>

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