Perineal and Anal Sphincter Trauma is a comprehensive text that focuses on the maternal morbidity associated with childbirth. In recognition of the longstanding global diversity in obstetric practice and the management of its sequelae, the authors have compiled the ultimate evidence-based book that includes the diagnosis, pathophysiology, management and prevention of obstetric trauma. Previous surveys have indicated that the majority of doctors and midwives have suboptimal training in anatomy and repair of perineal and anal sphincter trauma. This book addresses these deficiencies by providing a step-by- step approach in the understanding of perineal anatomy and provides tips on how to make an accurate diagnosis and classifiy perineal trauma. The dilemmas surrounding repair techniques and management of subsequent pregnancies are fully debated and preventative strategies are highlighted. Chapters on female genital mutilation, the management of faecal incontinence and medicolegal issues are also included.
This book is essential reading for anyone involved in obstetric care such as
obstetricians, midwives, and family practitioners but will also be of interest
to colorectal surgeons, gastroenterologists, physiotherapists, continence advisors,
Written for: Trainees and consultants in obstetrics and gynecology, colorectal surgeons, midwives, physiotherapists, gastroenterologists
* Obstetric Anal Sphincter Trauma
Table of contents
Anatomy of the perineum and the anal sphincter.- Diagnosis of perineal trauma.- Repair of episiotomy, first and second degree tears.- Third and fourth degree tears.- Prevention of perineal trauma.- Postpartum problems and the role of a perineal clinic.- Female genital mutilation.- Pathophysiology of anal incontinence.- Investigations of anorectal function.- Imaging of the anal sphincter.- Conservative management of anal incontinence.- Secondary anal sphincter repair.- Advanced surgical techniques.- Rectovaginal fistulas.- Medicolegal implications.