Management and outcomes of anal sphincter injuries: A retrospective cohort study

Esra DİŞÇİ; Rıfat PEKSÖZ; Metin YILDIZ; İlhan YILDIRGAN; Mesud FAKİRULLAHOĞLU; Yavuz ALBAYRAK; Enes AĞIRMAN; Sabri Selcuk ATAMANALP

doi:https://doi.org/10.28982/josam.1076775

Makale detayları

Management and outcomes of anal sphincter injuries: A retrospective cohort study

Yazarlar:

Esra DİŞÇİ | Rıfat PEKSÖZ | Metin YILDIZ | İlhan YILDIRGAN | Mesud FAKİRULLAHOĞLU | Yavuz ALBAYRAK | Enes AĞIRMAN | Sabri Selcuk ATAMANALP

Yayıncı:

Fatih BAŞAK

Ana Başlıklar:

Cerrahi ve ilgili tıbbi uzmanlıklar

Dergi:

Journal of Surgery and Medicine 2022 Vol.6 Issue 3, pp.254-257

Belge Tipi:

Makale

Yayın Tarihi:

2/2022

Belge Dili:

İngilizce

Document ID (Org No.):

2000498013

Sıklık:

Aylık

eISSN:

2602-2079

DOI:

https://doi.org/10.28982/josam.1076775

Özet:

 

Background/Aim: Anal sphincter injury (ASI) is a clinical condition that causes anal incontinence and can severely impair an individual’s quality of life. Overlapping sphincteroplasty (OSP) is the most preferred surgical method for repairing ASI. The present study aimed to discuss the demographic and clinical characteristics of patients who underwent ASI surgical repair in light of the current literature.
Methods: Patients in two groups; males and females, who underwent an operation for grade 3-4 ASI in the General Surgery Clinic at Ataturk University between 2010 and 2021 were retrospectively analyzed. The severity of anal incontinence and quality of life post-operatively using the Wexner score were evaluated. For evaluating post-operative complications, the Clavien–Dindo Classification was used.
Results: Over 12 years, 34 adult patients with a mean age of 35.8 (22–66) years underwent ASI surgery, namely 23 (67.6%) women and 11 (32.4) men. Considering the patients’ etiopathogenesis, obstetric injuries (55.9%) were the most common cause of ASI. All patients underwent overlapping sphincteroplasty (OSP), while 20.6% also underwent protective stoma. According to the Centers for Disease Control and Prevention (CDC), four patients were classified as Grade 1, four as Grade 2, seven as Grade 3 and one as Grade 5.
At a mean follow-up of 35.8 months, the mean Wexner score was 3.59 and the success rate was 88.2% (P=0.445). Males had a longer average hospital stay (P=0.021) and a higher Wexner score (P=0.445), whereas females had a greater complication rate (P=0.388). The quality of life was high, but the Wexner scores were low in all patients.
Conclusion: ASI most commonly occurs in women during childbirth. OSP has a high success rate, and opening a diverting ostomy when needed further increases this rate. The Wexner score is a simple and useful system for assessing anal incontinence.

Makale detayları

Management and outcomes of anal sphincter injuries: A retrospective cohort study

Yazarlar: Esra DİŞÇİ | Rıfat PEKSÖZ | Metin YILDIZ | İlhan YILDIRGAN | Mesud FAKİRULLAHOĞLU | Yavuz ALBAYRAK | Enes AĞIRMAN | Sabri Selcuk ATAMANALP

Yayıncı: Fatih BAŞAK

Ana Başlıklar: Cerrahi ve ilgili tıbbi uzmanlıklar

Dergi: Journal of Surgery and Medicine 2022 Vol.6 Issue 3, pp.254-257

Belge Tipi: Makale

Yayın Tarihi: 2/2022

Belge Dili: İngilizce

Document ID (Org No.): 2000498013

Sıklık: Aylık

eISSN: 2602-2079

DOI: https://doi.org/10.28982/josam.1076775

Sayı

Yazarlar:

Esra DİŞÇİ | Rıfat PEKSÖZ | Metin YILDIZ | İlhan YILDIRGAN | Mesud FAKİRULLAHOĞLU | Yavuz ALBAYRAK | Enes AĞIRMAN | Sabri Selcuk ATAMANALP

Yayıncı:

Fatih BAŞAK

Ana Başlıklar:

Cerrahi ve ilgili tıbbi uzmanlıklar

Dergi:

Journal of Surgery and Medicine 2022 Vol.6 Issue 3, pp.254-257

Belge Tipi:

Makale

Yayın Tarihi:

2/2022

Belge Dili:

İngilizce

Document ID (Org No.):

2000498013

Sıklık:

Aylık

eISSN:

2602-2079

DOI:

https://doi.org/10.28982/josam.1076775