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A review of levator ani avulsion after childbirth: Incidence, imaging and management.
Doxford-Hook, Elizabeth; Downey, Candice; Gibson, Joanna; Marsh, Fiona.
Afiliación
  • Doxford-Hook E; ST7 O&G Registrar. Leeds Teaching Hospital Trust, St James's University Hospital, Beckett Street, Leeds, UK. Electronic address: elizabeth.doxford-hook@nhs.net.
  • Downey C; ST5 General Surgery Registrar. Leeds Institute of Medical Research at St James's, University of Leeds, Leeds, UK.
  • Gibson J; ST7 O&G Registrar. Leeds Teaching Hospital Trust, St James's University Hospital, Beckett Street, Leeds, UK.
  • Marsh F; Consultant Urogynaecologist Leeds Teaching Hospital Trust, St James's University Hospital, Beckett Street, Leeds, UK.
Midwifery ; 115: 103494, 2022 Dec.
Article en En | MEDLINE | ID: mdl-36191381
Key Content • Levator ani muscle (LAM) avulsion injury occurs occultly during childbirth, most commonly during operative vaginal deliveries. • Injuries of levator ani have long term sequelae for pelvic floor health. As life expectancy increases the burden of disease upon urogynaecology services will need to be considered. • Diagnosis of this condition can be difficult as there is no agreed 'gold standard' imaging modality. • There is no consensus regarding surgical management of LAM avulsion. Learning objectives • Review anatomy and function of levator ani muscle • Identify the risk factors for levator ani avulsion injury • Role of imaging to appropriately identify LAM injury and current management options including appropriate follow up • Management of subsequent pregnancy following LAM avulsion Ethical issues • Is there value to the patient in diagnosing levator ani avulsion when there is no recommended treatment for these injuries?
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diafragma Pélvico / Parto Obstétrico Tipo de estudio: Diagnostic_studies / Etiology_studies / Incidence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Ethics Límite: Female / Humans / Pregnancy Idioma: En Revista: Midwifery Asunto de la revista: ENFERMAGEM / OBSTETRICIA Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diafragma Pélvico / Parto Obstétrico Tipo de estudio: Diagnostic_studies / Etiology_studies / Incidence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Ethics Límite: Female / Humans / Pregnancy Idioma: En Revista: Midwifery Asunto de la revista: ENFERMAGEM / OBSTETRICIA Año: 2022 Tipo del documento: Article Pais de publicación: Reino Unido