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There were no full-thickness external anal sphincter defects. Compared to those requiring primary repair alone, residual defects were significantly larger in thosewho also underwent secondary repair (Starck score 2.1 vs. 5.7, p= 0.01). Early secondary repair is a feasible surgical procedure for the reconstruction of dehisced OASIs. This case series and review of the literature can be used to support clinicians in the management of primary OASI repair dehiscence. Early secondary repair is a feasible surgical procedure for the reconstruction of

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