{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T02:53:40Z","timestamp":1791946420165,"version":"4.3.4"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2006,1,13]],"date-time":"2006-01-13T00:00:00Z","timestamp":1137110400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2006,2]]},"abstract":"<jats:p>\n                    <jats:bold>Objective\u2002<\/jats:bold>\n                    To compare two surgical techniques and two types of suture material for anal sphincter repair after childbirth\u2010related injury.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Design\u2002<\/jats:bold>\n                    Factorial randomised controlled trial.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Setting\u2002<\/jats:bold>\n                    Tertiary referral maternity unit.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Population\u2002<\/jats:bold>\n                    Women with an anal sphincter injury sustained during childbirth.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Method\u2002<\/jats:bold>\n                    Women were randomised into four groups: overlap repair with polyglactin (Vicryl); end\u2010to\u2010end repair with polyglactin (Vicryl); overlap repair with polydioxanone (PDS); and end\u2010to\u2010end repair with PDS. All repairs were completed as a primary procedure by staff trained in both methods.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Main outcome measures\u2002<\/jats:bold>\n                    Suture\u2010related morbidity at six weeks. Bowel symptoms at 3, 6 and 12 months. Anorectal physiology at three months. Quality of life scores at 3 and 12 months.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results\u2002<\/jats:bold>\n                    One hundred and fifty women (1.5% of deliveries) were eligible and 112 (75%) were randomised. One hundred and three (92%) attended follow up visit at 6 weeks, 89 (80%) at 3 months, 79 (71%) at 6 months and 60 (54%) at 12 months. At six weeks, there was no difference in suture\u2010related morbidity between groups (\n                    <jats:italic>P<\/jats:italic>\n                    = 0.11) and 70% patients were completely asymptomatic. Incidence of bowel symptoms and quality of life disturbances were low, with no differences between the four groups.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion\u2002<\/jats:bold>\n                    Obstetric anal sphincter repair carried out by appropriately trained staff is associated with low morbidity, irrespective of the suture material and repair method used.\n                  <\/jats:p>","DOI":"10.1111\/j.1471-0528.2006.00806.x","type":"journal-article","created":{"date-parts":[[2006,1,13]],"date-time":"2006-01-13T04:37:02Z","timestamp":1137127022000},"page":"201-207","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":86,"title":["How to repair an anal sphincter injury after vaginal delivery: results of a randomised controlled trial"],"prefix":"10.1111","volume":"113","author":[{"given":"Abimbola","family":"Williams","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth J","family":"Adams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas G","family":"Tincello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zarko","family":"Alfirevic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen A","family":"Walkinshaw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David H","family":"Richmond","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,1,13]]},"reference":[{"issue":"2","key":"e_1_2_7_2_2","first-page":"218","article-title":"Incidence of third\u2010degree perineal tears in labour and outcome after primary repair","volume":"83","author":"Walsh CJ","year":"1996","journal-title":"Br J Surg"},{"key":"e_1_2_7_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.308.6933.887"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234209"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2003.09.030"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2000.tb11093.x"},{"issue":"6","key":"e_1_2_7_7_2","first-page":"553","article-title":"Clinical consequences of anal sphincter rupture during vaginal delivery","volume":"183","author":"Fornell EK","year":"1996","journal-title":"J Am Coll Surg"},{"key":"e_1_2_7_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-199310000-00011"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0028-2243(88)80007-8"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.3109\/00016349209041443"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2001.080009830.x"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1999.tb08268.x"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2000.108880"},{"key":"e_1_2_7_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198107000-00007"},{"key":"e_1_2_7_15_2","first-page":"1","article-title":"Management of third and fourth degree perineal tears following vaginal delivery","volume":"29","author":"Adams EJ","year":"2001","journal-title":"RCOG Green Top Guideline No"},{"issue":"5","key":"e_1_2_7_16_2","first-page":"269","article-title":"Suture materials and wound infection. 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