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.
There has been an increase in litigation due to a failure of recognition of anal sphincter tears and inappropriate management. This book clarifies and graphically demonstrates perineal anatomy and explains the pathophysiology of anal incontinence as well as applied pharmacology. It also institutes the new recommended classification of perineal tears and describes the various anal sphincter repair techniques. The emphasis is placed on the correct post-operative management, management of a subsequent pregnancy following previous anal sphincter injury, and prevention of anal sphincter tears as an important issue that has not been given due consideration previously. The authors also focus on medical/legal implications in order to introduce safe medical practice.
Abdul H Sultan
Anorectal Incontinence Obstetric Anal Sphincter Trauma imaging perineum sphincter trauma Trauma Surgery
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)