Perineal and Anal Sphincter Trauma

Perineal and Anal Sphincter Trauma


Edited by Abdul H. Sultan, Edited by Ranee Thakar, Edited by Dee E. Fenner


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  • Publisher: Springer London Ltd
  • Format: Paperback | 196 pages
  • Dimensions: 176mm x 250mm x 10mm | 499g
  • Publication date: 2 January 2009
  • Publication City/Country: England
  • ISBN 10: 1848009968
  • ISBN 13: 9781848009967
  • Edition: 1
  • Edition statement: 1st ed. 2007. 2nd printing 2008
  • Illustrations note: 50 black & white illustrations, 32 colour illustrations, 19 black & white tables, biography
  • Sales rank: 349,631

Product description

This book clarifies and explains perineal anatomy and the pathophysiology of anal incontinence as well as applied pharmacology. It also institutes the new recommended classification of perineal tears, and describes anal sphincter repair techniques. The emphasis is on correct post-operative management, management of pregnancy following previous anal sphincter injury, and prevention of anal sphincter tears. The book will interest students, colorectal surgeons, physiotherapists, midwives, continence advisors, labour wards and lawyers.

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Review quote

From the reviews: "This book provides a comprehensive overview of all aspects related to perineal and anal sphincter trauma ... . The book represents a valuable resource for those who are involved in the management of perineal and anal sphincter trauma to further their knowledge and understanding of this emerging field and advance their skills in patient care. ... it is suitable for obstetricians, midwifes, urogynaecologists and colorectal surgeons. It should be in the library of every hospital where obstetric care is provided." (Sharif I. M. F. Ismail, International Urogynecology Journal, Vol. 20, 2009)

Back cover copy

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, and lawyers.

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.- Surgical Management of Anal Incontinence Part A. Secondary Anal Sphincter Repair.- Surgical Management of Anal Incontinence Part B. Advanced Surgical Techniques.- Rectovaginal Fistulas.- Medicolegal Considerations: The British and U.S. Perspective.