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| Name | Class |
|---|---|
| Medtronic | INDUSTRY |
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There is around 60 000 births annually in Finland. Around 1-5% of all vaginal deliveries in Finland complicate in a Grade III- IV perineal tear. Because the diagnosis of a sphincter lesion after birth can be challenging the total amount of women having obtained a sphincter lesion could be even grater.
The aim of our study is to compare different tools in the diagnosis of obstetric anal sphincter injury. In doing so the investigators hope to achieve early diagnosis of this pathology and thus facilitate early treatment of a possible sphincter defect.
See the attacher research plan for a more detailed description
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| OASI patients | All patients older than 18 and a 3rd or 4th degree perineal tear during birth meet the inclusion criteria. All women who have obtained such a injury during birth in the Vaasa or Seinäjoki Central hospitals will be evaluated for eligibility. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Magnetic resonance imaging | Other | The extent of obstetric anal sphincter injury will be evaluated using MRI, endoanal ultrasound and anal manometry |
|
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of MRI and endoanal ultrasound in diagnosis of obstetric anal sphincter injury | Comparison of anal sphincter characteristics (length, thickness at 3 and 9 o'clock) and placement of the possible rupture with both imaging modalities | 6 months to 1 year |
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Inclusion Criteria:
Women with OASI
Exclusion Criteria:
Under 18
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All patients older than 18 and a 3rd or 4th degree perineal tear observed during birth meet the inclusion criteria. All women who have obtained such a injury during birth in the Vaasa or Seinäjoki Central hospitals will be evaluated for eligibility.
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| Name | Affiliation | Role |
|---|---|---|
| Mikael Victorzon, prof. | Professor of surgery Turku University | Study Director |
| Jaan Kirss, MD | Resident in Gastroenterological surgery | Principal Investigator |
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| ID | Term |
|---|---|
| D004688 | Encopresis |
| ID | Term |
|---|---|
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001526 | Behavioral Symptoms |
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| ID | Term |
|---|---|
| D009682 | Magnetic Resonance Spectroscopy |
| ID | Term |
|---|---|
| D013057 | Spectrum Analysis |
| D002623 | Chemistry Techniques, Analytical |
| D008919 | Investigative Techniques |
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| D001519 | Behavior |
| D019960 | Elimination Disorders |
| D001523 | Mental Disorders |