Perineal and Anal Sphincter Trauma : Diagnosis and Clinical Management

This book clarifies and explains perineal anatomy and the pathophysiology of anal incontinence as well as applied pharmacology. It also institutes the new recommended classification of perineal tears, and describes anal sphincter repair techniques. The emphasis is on correct post-operative management, management of pregnancy following previous anal sphincter injury, and prevention of anal sphincter tears. The book will interest students, colorectal surgeons, physiotherapists, midwives, continence advisors, labour wards and lawyers. Perineal and Anal Sphincter Trauma is a comprehensive text that focuses on the maternal morbidity associated with childbirth. In recognition of the longstanding global diversity in obstetric practice and the management of its sequelae, the authors have compiled the ultimate evidence-based book that includes the diagnosis, pathophysiology, management and prevention of obstetric trauma. Previous surveys have indicated that the majority of doctors and midwives have suboptimal training in anatomy and repair of perineal and anal sphincter trauma. This book addresses these deficiencies by providing a step-by- step approach in the understanding of perineal anatomy and provides tips on how to make an accurate diagnosis and classifiy 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 and medicolegal issues are also included. This book is essential reading for anyone involved in obstetric care such as obstetricians, midwives, and family practitioners but will also be of interest to colorectal surgeons, gastroenterologists, physiotherapists, continence advisors, and lawyers 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. Translation of the Japanese text, Shishu Geka no Rinsho to Tekunikku, c1997. Atlas illustrates treatment through case-by-case study. Abundantly illustrated with full-color photographs and drawings. Demonstrates how regenerative procedures combined with periodontal surgery techniques, can achieve a successful clinical outcome. DNLM: Periodontics--methods--Atlases. Abdul H. Sultan, Ranee Thakar And Dee E. Fenner (eds.). Includes Bibliographical References And Index.