Pelvic Floor, Perineal, and Anal Sphincter Trauma During Childbirth

ISBN-13: 9783031430947 / Angielski / Mixed media product / 2024

Opis

One of the rewards of medical teaching is to see the next generation advance the art and science of medicine beyond their forebears. We can be justi? ably proud of this anthology on Perineal and Anal Sphincter Trauma, which owes so much to the endeavours of the editorial team. In addition to their own contributions, they have recruited a body of topic authors of international standing. The result is a book of wide breadth and depth, covering many aspects of disorders of the posterior pelvic compartment, which have hitherto not been found in one volume. The choice of topics is wide, and the description and illustrations are clear and concise. They cover both innovative and current practice, all founded on an evidence basis. The intended readership is multidisciplinary, going beyond all those involved in “front line” obstetric care, to reach physicians, surgeons, radiologists and others, who deal with long term adverse effects of childbirth. This mirrors the professional ba- ground of the authorship. We are con? dent of its broad appeal and wish the book every success.

Spis treści

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.

O autorze

Abdul H Sultan is a Consultant Obstetrician and UroGynaecologist whose pioneering work on the effects of childbirth on the anal sphincters led to a landmark publication in the New England Journal of Medicine and a Doctorate. His work highlighted the deficiencies in training of doctors and midwives in detecting and repairing injuries to the perineum and anal sphincter after childbirth. He had published extensively and has co-produced the first comprehensive textbook on perineal and anal sphincter trauma in 2007 and in 2021.. He has published around300 peer reviewed papers and chapters and is the co-director of the popular international Perineal Trauma and Pelvic Floor Ultrasound courses. He was previously awarded the prestigious overall “UK Hospital Doctor of the Year” award, He was the President of the Section of Obstetrics and Gynaecology of the Royal Society of Medicine (2015-2016) and is honorary Reader at St. George’s University of London. He has just published another textbook: Santoro GA, Wieczorek AP, Sultan AH (eds). Pelvic Floor Disorders. Springer Verlag:  2021

 

Ranee Thakar is a Subspecialist in Urogynaecology and Consultant Obstetrician and Gynaecologist at Croydon University Hospital and honorary senior lecturer at St. George’s University of London. She is the current RCOG President and past President of the International Urogynecological Association. Ranee is the Lead for the urogynaecology service at her Trust which is accredited by the British Society of Urogynaecology. Ranee has experience across a wide range of areas within obstetrics and gynaecology including psychosexual medicine, female genital mutilation (FGM) and the prevention and management of obstetric anal sphincter injury (OASI). Ranee has an impressive academic profile with over 200 publications and has made a significant contribution to improving perineal trauma outcomes by training obstetricians and midwives to provide safer maternity care for women globally. She leads the national obstetric anal sphincter injuries (OASI) Care Bundle Project focussing on reduction of OASI rates. Regionally, Ranee leads the Perinatal Pelvic Health Project and Urogynaecology network for South-West London, developing multi-disciplinary collaboration with urologists, midwives, physiotherapists, nurses and GPs.

 

Dr. Christina Lewicky-Gaupp is fellowship-trained and board-certified in Obstetrics & Gynecology and Urogynecology and Reconstructive Pelvic Surgery. She completed her Female Pelvic Medicine & Reconstructive Surgery fellowship at the University of Michigan after completing an Obstetrics & Gynecology Residency at University of Chicago. She is a Professor of Obstetrics & Gynecology. Dr. Lewicky-Gaupp founded one of the first maternal recovery clinics in the United States and is the Medical Director of the University of Chicago Peripartum Evaluation and Assessment of the Pelvic Floor around Delivery (PEAPOD) Clinic.  Her research interests focus on maternal birth trauma and she has published over 80 peer-reviewed papers.

Blurb

Pelvic Floor, Perineal, and Anal Sphincter Trauma During Childbirth is a comprehensive text that focuses on the maternal morbidity associated with childbirth. The book is edited by a reputable international team of obstetricians and urogynaecologists who have an in-depth knowledge of the subject and are actively involved in training and research. In recognition of the longstanding global diversity in obstetric practice and the management of its sequelae, the authors have compiled the ultimate evidence-based textbook that examines the diagnosis, pathophysiology, management, and prevention of obstetric trauma. It is known that the majority of doctors and midwives have suboptimal training in the anatomy and repair of perineal and anal sphincter trauma. This book aims to address these deficiencies by providing a comprehensive approach in the understanding of this anatomy and provides tips on making an accurate diagnosis and classification of 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, caesarean section, pre-existing bowel conditions, sexual dysfunction and litigation are also Included.

This book is essential reading for all who are involved in obstetric care both in the labour ward and even years after parturition; obstetricians, midwives, family practitioners, colorectal surgeons, gastroenterologists, physiotherapists, continence advisors and lawyers can all glean knowledge applicable to their own specialty. In everyday practice, the text can also serve as a handbook for quick reference and should therefore be easily accessible in all antenatal clinics labour ward rooms and perineal/pelvic floor clinics.