Evidence map›Paper›PMID 31773346›Full record

ArticleTechniques in coloproctology2019

Long-term outcome of sphincteroplasty with separate suturing of the internal and the external anal sphincter.

M R Berg, H Gregussen, Y Sahlin

Open access · hybridAbstract read
In one paragraph

Article in Techniques in coloproctology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
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  7. Article
  8. Article
  9. Review
  10. Article
  11. Fecal incontinence and rectal prolapse.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2019
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

M R BergDepartment of Colorectal Surgery, Innlandet Hospital Trust Hamar, Hamar, Norway. m.risopatron.berg@gmail.com.ORCID http://orcid.org/0000-0002-9566-527X
H GregussenDepartment of Colorectal Surgery, Innlandet Hospital Trust Hamar, Hamar, Norway.
Y SahlinDepartment of Colorectal Surgery, Innlandet Hospital Trust Hamar, Hamar, Norway.
Innlandet Hospital Trust · NOUniversity of Oslo · NO

Funding

Sykehuset Innlandet HF 0353
6 · The paper itself

Abstract

backgroundSphincteroplasty is one of the treatment options for anal incontinence following obstetric injury. The aim of the study was to evaluate the long-term effect of sphincteroplasty with separate suturing of the internal and the external anal sphincter on anal continence.

methodsA retrospective study was conducted on women who had sphincteroplasty for treatment of anal incontinence following obstetric injury. Women operated between January 1, 2011 and December 31, 2014 at Sykehuset Innlandet Hospital Trust Hamar, were invited to answer a questionnaire and participate in a clinical examination, including endoanal sonography.

results111 (86.7%) women participated. Median postoperative follow-up was 44.5 months, and 63.8% of the participants experienced an improvement of at least three points in the St. Mark's incontinence score. Fecal urgency and daily fecal leakage persisted in 39.4% and 6.4% of the participants, respectively. The internal anal sphincter improvement persisted in 61.8% of the participants, and there was a median reduction of their St. Mark's score of 6.0 points between the preoperative value and the value at long-term follow-up. There was no significant change in the St. Mark's score of patients with persistent dehiscence of the internal anal sphincter.

conclusionsSphincteroplasty, with separate suturing of the internal sphincter resulted in continence for stool maintained for at least 3 years in the majority of the patients, while there was an improvement in continence in nearly two-thirds.

Indexed as

Suture TechniquesAdultAgedAnal CanalDelivery, ObstetricFecal IncontinenceFemaleFollow-Up StudiesHumansLacerationsMiddle AgedPlastic Surgery ProceduresRetrospective StudiesSeverity of Illness IndexSurgical Wound DehiscenceTime FactorsAnal incontinenceObstetric anal sphincter injurySphincter repair

Identifiers

PMID31773346
PMCPMC6890595
OpenAlexW2991318895

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.