Episiotomy and innervation zones of the external anal Sphincter: A case series investigating the impact on neurological patterns

Mediolateral episiotomy may impact the EAS's innervation pattern, highlighting the importance of considering individual innervation zones in episiotomy planning. While the integration of sEMG into routine clinical practice is still evolving, this study underscores its potential as an additional tool for assessing neural integrity, particularly in cases of anal sphincter injury and reconstruction. Future research should explore the dynamics of re-innervation and the correlation between vascular injury and reduced innervation zones to enhance patient-specific care in pelvic floor dysfunction.

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Publication Details

Journal
Journal of Electromyography and Kinesiology
Published
2024-12-19
DOI
https://doi.org/10.1016/j.jelekin.2024.102970
Primary Topic
Pelvic floor disorders treatments
Type
article
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article

Episiotomy and innervation zones of the external anal Sphincter: A case series investigating the impact on neurological patterns

Gregor Norčič, Rosario Emanuele Carlo Distefano, Kristina Drusany Starič, Giorgia Campo
Journal of Electromyography and Kinesiology
Pelvic floor disorders treatments
article

Episiotomy and innervation zones of the external anal Sphincter: A case series investigating the impact on neurological patterns

Gregor Norčič, Rosario Emanuele Carlo Distefano, Kristina Drusany Starič, Giorgia Campo
article en

Abstract

Mediolateral episiotomy may impact the EAS's innervation pattern, highlighting the importance of considering individual innervation zones in episiotomy planning. While the integration of sEMG into routine clinical practice is still evolving, this study underscores its potential as an additional tool for assessing neural integrity, particularly in cases of anal sphincter injury and reconstruction. Future research should explore the dynamics of re-innervation and the correlation between vascular injury and reduced innervation zones to enhance patient-specific care in pelvic floor dysfunction.

Journal of Electromyography and KinesiologyVol. 80
University of Ljubljana (SI), Ljubljana University Medical Centre (SI), University of Catania (IT)
Zero hunger
Openalex Percentile: Top 60%
Pelvic floor disorders treatments
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Episiotomy and innervation zones of the external anal Sphincter: A case series investigating the impact on neurological patterns — Gregor Norčič, Rosario Emanuele Carlo Distefano, et al. · Journal of Electromyography and Kinesiology (2024) | TGRS Research Map | TGRS