Doxford-Hook, E. orcid.org/0000-0003-3181-5555, Downey, C., Gibson, J. et al. (1 more author) (2022) A review of levator ani avulsion after childbirth: Incidence, imaging and management. Midwifery, 115. 103494. ISSN 0266-6138
Abstract
Key Content
• Levator ani muscle (LAM) avulsion injury occurs occultly during childbirth, most commonly during operative vaginal deliveries.
• Injuries of levator ani have long term sequelae for pelvic floor health. As life expectancy increases the burden of disease upon urogynaecology services will need to be considered.
• Diagnosis of this condition can be difficult as there is no agreed ‘gold standard’ imaging modality.
• There is no consensus regarding surgical management of LAM avulsion.
Learning objectives
• Review anatomy and function of levator ani muscle • Identify the risk factors for levator ani avulsion injury
• Role of imaging to appropriately identify LAM injury and current management options including appropriate follow up • Management of subsequent pregnancy following LAM avulsion
Ethical issues
• Is there value to the patient in diagnosing levator ani avulsion when there is no recommended treatment for these injuries?
Metadata
Item Type: | Article |
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Authors/Creators: |
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Keywords: | Levator ani muscle, Levator ani muscle avulsion, Pelvic organ prolapse, Urogynaecology |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Healthcare (Leeds) The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Medical Research (LIMR) > Division of Gastroenterology and Surgery |
Depositing User: | Symplectic Publications |
Date Deposited: | 03 Nov 2023 15:59 |
Last Modified: | 08 Nov 2023 11:32 |
Published Version: | https://www.sciencedirect.com/science/article/pii/... |
Status: | Published |
Publisher: | Elsevier |
Identification Number: | 10.1016/j.midw.2022.103494 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:201653 |