{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T04:34:27Z","timestamp":1692419667038},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,9,13]],"date-time":"2022-09-13T00:00:00Z","timestamp":1663027200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The rate of secondary failure after obstetric sphincter injury repair is unknown, with the literature reporting rates ranging from 0.1% to 53%. We aimed to perform an audit to identify the rate and risk factors for failure of sphincter repair in a cohort of postpartum women using endoanal ultrasound (EAUS) and manometry, assessing the risk factors and impact of these events.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Prospective data were collected within a 2\u00a0year period from patients who attended the perineal clinic at Eastern Health. Variables of primary repair and presence of postpartum complications were recorded and subsequently analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 239 patients with obstetric anal sphincter injury (OASI) included, 100 (41.8%) had EUAS evidence of sphincter defects. Only 20% with secondary repair failure were symptomatic with faecal or flatal incontinence at a mean follow\u2010up of 23.4\u00a0months postpartum. Patients with secondary repair failure had lower anal resting (<jats:italic>p<\/jats:italic>\u00a0=\u20090.006) and maximum squeeze pressures compared with patients with intact repairs (<jats:italic>p<\/jats:italic>\u00a0&lt;\u20090.001). In terms of variables that were investigated, namely location, operator hierarchy, type of repair and material used, none had a statistically significant correlation with secondary repair failure of OASI. Postpartum complications had an overall incidence of 12.7%, and those with any complication were found to have an increased rate of secondary failure of repair (<jats:italic>p<\/jats:italic>\u00a0=\u20090.157).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Using EAUS to confirm secondary failure of repair, incidence was 41.4% in this cohort. There were no identifiable modifiable variables that reduced the risk of secondary failure of repair. Further prospective research with increased sample size and longer follow\u2010up periods is required to assess the validity of the findings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.16313","type":"journal-article","created":{"date-parts":[[2022,8,25]],"date-time":"2022-08-25T14:19:40Z","timestamp":1661437180000},"page":"95-101","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Incidence and risk factors for secondary failure after acute obstetric sphincter injury repair \u2013 an audit of 239 women"],"prefix":"10.1111","volume":"25","author":[{"given":"Anshini","family":"Jain","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery Eastern Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen","family":"Lew","sequence":"additional","affiliation":[{"name":"Department of Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaushik","family":"Thungathruthi","sequence":"additional","affiliation":[{"name":"Box Hill Hospital  Box Hill Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suat Chin","family":"Ng","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Eastern Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Hiscock","sequence":"additional","affiliation":[{"name":"Epworth Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naseem","family":"Mirbagheri","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery Eastern Health  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,9,13]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-019-02128-1"},{"key":"e_1_2_11_3_1","unstructured":"Australian Commission on Safety and Quality in Health Care.Third and fourth degree perineal tears. Womens Health and Maternity Web site;2017. [Cited 2022 Jul 30]. Available from:https:\/\/www.safetyandquality.gov.au\/sites\/default\/files\/migrated\/3.5\u2010Third\u2010and\u2010fourth\u2010degree\u2010perineal\u2010tears.pdf"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)30081-0"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gofs.2018.10.028"},{"key":"e_1_2_11_6_1","unstructured":"Australian Commission on Safety and Quality in Health Care.Third and fourth degree perineal tears clinical care standard. Womens Health and Maternity;2021. Australian Commission on Safety and Quality in Health Care. [Cited 2022 Jul 30]. Available from:https:\/\/www.safetyandquality.gov.au\/standards\/clinical\u2010care\u2010standards\/third\u2010and\u2010fourth\u2010degree\u2010perineal\u2010tears\u2010clinical\u2010care\u2010standard"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2004.00400.x"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001297"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000466"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(93)90478-2"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2006.06.085"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-199412000-00006"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000833"},{"key":"e_1_2_11_14_1","first-page":"225","volume-title":"Obstetrics by ten teachers","author":"Kenny LC","year":"2011"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2020.06.048"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2019.04.009"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-009-0908-8"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(98)11205-9"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.4274\/tjod.56650"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016349609055023"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14027"},{"issue":"1","key":"e_1_2_11_22_1","first-page":"39","article-title":"Redo sphincteroplasty: are the results sustainable?","volume":"4","author":"Hong K","year":"2016","journal-title":"Gastroenterol Rep (Oxf)."},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-84628-503-5_4"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12664-010-0037-9"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2482-7-1"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-014-2005-9"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.gco.0000191901.69320.a0"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.16313","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/codi.16313","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.16313","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,18]],"date-time":"2023-08-18T22:45:46Z","timestamp":1692398746000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.16313"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,13]]},"references-count":26,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023,1]]}},"alternative-id":["10.1111\/codi.16313"],"URL":"https:\/\/doi.org\/10.1111\/codi.16313","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,13]]},"assertion":[{"value":"2022-02-12","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-09-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}