ReviewInternational urogynecology journal2021
Isolated rectal buttonhole tears in obstetrics: case series and review of the literature.
Review in International urogynecology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 22 citations in OpenAlex.
- Perineal Trauma and Obstetric Anal Sphincter Injuries (OASIs) in the United Kingdom: National Trends and Practice Changes Over a Decade.International urogynecology journal · 2026Article
- Characteristics and management of isolated rectal laceration during vaginal delivery.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026Article
- IUGA International Guidelines on Obstetric Anal Sphincter Injuries.International urogynecology journal · 2026Article
- Bridging Gaps: Insights from a Rectal Buttonhole Tear Case Series.International urogynecology journal · 2026Article
- Rectal buttonhole tear during parturition: A case report and literature review.BMC pregnancy and childbirth · 2026Review
- Comprehensive Management of Obstetric Rectal Buttonhole Tears: Insights From a Case Report and Literature Analysis.The American journal of case reports · 2025Review
- Obstetric Rectal Buttonhole Tear: Case Series, Literature Review, and Management Recommendations.International journal of women's health · 2025Review
- In vitro biomechanical properties of porcine perineal tissues to better understand human perineal tears during delivery.Acta obstetricia et gynecologica Scandinavica · 2024Article
- Diagnosis, management and training in perineal trauma: a UK national survey of obstetricians.International urogynecology journal · 2023Article
- Martius fat pad flap procedure for management of obstetric rectovaginal fistula: A case report.Case reports in women's health · 2023Article
- Obstetric rectal buttonhole tear and a successful three-layer repair: A case report.Case reports in women's health · 2023Article
- Early secondary repair of obstetric anal sphincter injuries (OASIs): experience and a review of the literature.International urogynecology journal · 2021Review
- Re: "Isolated rectal buttonhole tears in obstetrics: case series and review of the literature".International urogynecology journal · 2021Article
- Primary identification and reparation of the "buttonhole" tears is necessary.International urogynecology journal · 2021Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introduction and hypothesisThe management of isolated rectal buttonhole tears is not standardised and can be challenging in an acute obstetric setting. Our aim was to review the published literature and describe management and repair techniques in a case series.
methodsA literature search was carried out. All results were screened and reviewed. Rectal buttonhole tears following vaginal delivery between April 2012 and January 2020 in our institution were identified. Repair technique and post-operative management were recorded.
resultsThere were nine published case reports (four instrumental deliveries, two vaginal breech and three normal vaginal deliveries). Four case reports described a two-layer closure and five described a three-layer closure. Two cases were repaired in collaboration with colorectal surgeons. All nine cases made an uneventful recovery. We identified three patients with buttonhole tears all of whom had instrumental deliveries. A colorectal surgeon repaired the tear in two layers in one case, and an obstetrician performed the repair in the other two cases, one in three layers and the other in two layers. One patient had a de-functioning stoma at a later date due to a second breakdown of the recto-vaginal fistula repair.
conclusionButtonhole tears are rare but techniques of repair vary. Most cases reviewed had an uneventful recovery after repair. We provide standardised steps for repair and management of isolated rectal buttonhole tears along with a video demonstrating the repair technique in an animal tissue (pig) model.
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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.