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ArticleActa obstetricia et gynecologica Scandinavica2024

In vitro biomechanical properties of porcine perineal tissues to better understand human perineal tears during delivery.

Marine Lallemant, Tiguida Kadiakhe, Jerôme Chambert, Arnaud Lejeune, Rajeev Ramanah, Nicolas Mottet, Emmanuelle Jacquet

Open access · diamondAbstract read
In one paragraph

Article in Acta obstetricia et gynecologica Scandinavica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.8field-weighted citation impact, top 7% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Marine LallemantDepartment of Gynecology and Obstetrics, Besancon University Medical Center, Besançon, France.ORCID 0000-0002-3341-5267
Tiguida KadiakheDepartment of Applied Mechanics, FEMTO-ST Institute, University of Franche-Comte, UMR 6174 CNRS, Besançon, France.
Jerôme ChambertDepartment of Applied Mechanics, FEMTO-ST Institute, University of Franche-Comte, UMR 6174 CNRS, Besançon, France.
Arnaud LejeuneDepartment of Applied Mechanics, FEMTO-ST Institute, University of Franche-Comte, UMR 6174 CNRS, Besançon, France.
Rajeev RamanahDepartment of Gynecology and Obstetrics, Besancon University Medical Center, Besançon, France.
Nicolas MottetDepartment of Gynecology and Obstetrics, Besancon University Medical Center, Besançon, France.
Emmanuelle JacquetDepartment of Applied Mechanics, FEMTO-ST Institute, University of Franche-Comte, UMR 6174 CNRS, Besançon, France.
Centre National de la Recherche Scientifique · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionData concerning the mechanical properties of the perineum during delivery are very limited. In vivo experiments raise ethical issues. The aim of the study was to describe some of the biomechanical properties of each perineal tissue layer collected from sows in order to better understand perineal tears during childbirth. MATERIAL AND

methodsSamples of each perineal tissue layer were obtained from the skin, the vagina, the external anal sphincter (EAS), the internal anal sphincter (IAS), and the anal mucosa of fresh dead sows. They were tested in quasi-static uniaxial tension using the testing machine Mach-1®. Tests were performed at a displacement velocity of 0.1 mm·s

resultsTen samples of each perineal tissue layer were analyzed. Mean values of C1 and corresponding standard deviations were 46 ± 15, 165 ± 60, 27 ± 10, 19 ± 13, 145 ± 28 kPa for the perineal skin, the vagina, the EAS, the IAS, and the anal mucosa, respectively. According to this same sample order, the first microfailure in the population of 10 sows appeared at an average of 54%, 27%, 70%, 131%, and 22% of strain. A correlation was found between C1 hyperelastic coefficient and the duration between the first microfailure and the complete rupture (r = 0.7, p = 0.02) or the number of microfailures before complete rupture only for the vagina (r = 0.7, p = 0.02).

conclusionsIn this population of fresh dead sow's perineum, the vagina and the anal mucosa were the stiffest tissues. The IAS and EAS were more extensible and less stiff. A significantly positive correlation was found between C1 and the duration between the first microfailure and the complete rupture of the vagina, and the duration between the first microfailure and the complete rupture of the vagina.

Indexed as

PerineumAnal CanalAnimalsBiomechanical PhenomenaDelivery, ObstetricFemaleHumansIn Vitro TechniquesPregnancySwineVaginabiomechanical propertieschildbirthdeformationperineal tearperineumrupturestress–strain curve

Identifiers

PMID38553803
PMCPMC11168271
OpenAlexW4393344618

What OpenQuestion holds

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Registered trials

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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.