Elige el tipo de letra:
 Arimo
 Merriweather
 Mukta Malar
 Open Sans Condensed
 Rokkitt
 Source Sans Pro
 Login


 Español 
 Français 
 English 
 Português 

[Valid RSS] RSS
bar

Base de datos - (CIANE)

Presentación de esta base de datos documental (Sitio web de CIANE)
Actualmente 3111 registros
Canal de YouTube (tutorial)

https://ciane.net/id=2577

Creado el : 02 Aug 2014
Alterado em : 02 Aug 2014

 Editar este registro
¡Sólo siga este enlace si tiene una contraseña de editor!


Compartir : Facebook logo   Tweeter logo   Especializado

Ficha bibliográfica (sin autores) :

Methods of repair for obstetric anal sphincter injury - Cochrane Database of Systematic Reviews - ISBN: 1465-1858

Autores :

Fernando, Ruwan J; Sultan, Abdul H; Kettle, Christine; Thakar, Ranee

Año de publicación :

2013

URL(s) :

http://onlinelibrary.wiley.com/doi/10.1002/1465185…

Résumé (français)  :

Abstract (English)  :

Background
Background

Anal sphincter injury during childbirth - obstetric anal sphincter injuries (OASIS) - are associated with significant maternal morbidity including perineal pain, dyspareunia (painful sexual intercourse) and anal incontinence, which can lead to psychological and physical sequelae. Many women do not seek medical attention because of embarrassment. The two recognised methods for the repair of damaged external anal sphincter (EAS) are end-to-end (approximation) repair and overlap repair.

Objectives
Objectives

To compare the effectiveness of overlap repair versus end-to-end repair following OASIS in reducing subsequent anal incontinence, perineal pain, dyspareunia and improving quality of life.

Search methods
Search methods

We searched the Cochrane Pregnancy and Childbirth Group’s Trials Register (30 September 2013) and reference lists of retrieved studies.

Selection criteria
Selection criteria

Randomised controlled trials comparing different techniques of immediate primary repair of EAS following OASIS.

Data collection and analysis
Data collection and analysis

Trial quality was assessed independently by all authors.

Main results
Main results

Six eligible trials, of variable quality, involving 588 women, were included. There was considerable heterogeneity in the outcome measures, time points and reported results. Meta-analyses showed that there was no statistically significant difference in perineal pain (risk ratio (RR) 0.08, 95% confidence interval (CI) 0.00 to 1.45, one trial, 52 women), dyspareunia (average RR 0.77, 95% CI 0.48 to 1.24, two trials, 151 women), flatus incontinence (average RR 1.14, 95% CI 0.58 to 2.23, three trials, 256 women) between the two repair techniques at 12 months. However, it showed a statistically significant lower incidence of faecal urgency (RR 0.12, 95% CI 0.02 to 0.86, one trial, 52 women), and lower anal incontinence score (standardised mean difference (SMD) -0.70, 95% CI -1.26 to -0.14, one trial, 52 women) in the overlap group. The overlap technique was also associated with a statistically significant lower risk of deterioration of anal incontinence symptoms over 12 months (RR 0.26, 95% CI 0.09 to 0.79, one trial, 41 women). There was no significant difference in quality of life. At 36 months follow-up, there was no difference in flatus incontinence (average RR 1.12, 95% CI 0.63 to 1.99, one trial, 68 women) or faecal incontinence (average RR 1.01, 95% CI 0.34 to 2.98, one trial, 68 women).

Authors’ conclusions
Authors’ conclusions

The data available show that at one-year follow-up, immediate primary overlap repair of the external anal sphincter compared with immediate primary end-to-end repair appears to be associated with lower risks of developing faecal urgency and anal incontinence symptoms. At the end of 36 months there appears to be no difference in flatus or faecal incontinence between the two techniques. However, since this evidence is based on only two small trials, more research evidence is needed in order to confirm or refute these findings.

Sumário (português)  :

Resumen (español)  :

Comentarios :

Argument (français) :

Argument (English):

Argumento (português):

Argumento (español):

Palabras claves :

➡ episiotomía

Autor de este registro :

Import 02/08/2014 — 02 Aug 2014

Debate (mostrar sólo español)
 
➡ Sólo para usuarios identificados



 He leído la política de debate y acepto las condiciones (ver la constitución)

barre

Realizar otra consulta de expertos --- Realice otra consulta sencilla

Creación de un registro --- Importación de registros

Gestión de usuarios --- Salvaguardar la base de datos --- Contacto

bar

Esta base de datos creada por la Alliance francophone pour l'accouchement respecté (AFAR) está gestionada
por el Collectif interassociatif autour de la naissance (CIANE, https://ciane.net).
Se nutre de las contribuciones de voluntarios interesados en compartir información científica.
Si está de acuerdo con este proyecto, puede ayudarnos de varias maneras:
(1) convertirse en colaborador de esta base de datos, si tiene alguna experiencia en documentación
(2) ou apoio financeiro CIANE (veja abaixo)
(3) o hacerse miembro de otra asociación afiliada al CIANE.
Inicie sesión o cree una cuenta para seguir los cambios o convertirse en editor.
Contacta con bibli(arobase)ciane.net para más información.

Valid CSS! Valid HTML!
Donar a CIANE (haga clic en 'Faire un don') nos ayudará a mantener y desarrollar
sitios y bases de datos públicas para apoyar las decisiones informadas de los progenitores
y profesionales de la salud con respecto al parto