Sphincter repair for fecal incontinence
作者:
Kazuhiko,
Yoshioka Michael,
期刊:
Diseases of the Colon & Rectum
(OVID Available online 1989)
卷期:
Volume 32,
issue 1
页码: 39-42
ISSN:0012-3706
年代: 1989
出版商: OVID
关键词: Sphincter repair;Fecal incontinence;Maximum anal pressure;Maximum squeeze presure
数据来源: OVID
摘要:
&NA;Twenty‐seven patients who had sphincter repair by one surgeon over the last ten years were reviewed. Previous surgery, childbirth, and perineal trauma were the most common causes. Twelve patients had been treated previously using an anal continence device (N=6), postanal repair (N=5), and rectopexy (N=1). A covering colostomy was used in ten patients. At the initial operation only 7 patients were rendered completely continent, 13 others were improved, but results were poor in the other 7. Four of the 7 patients were rendered completely continent after secondary operations. Maximum anal pressure and maximum squeeze pressure did not change significantly after surgery; however, preoperative maximum squeeze pressure in patients who achieved complete continence was significantly greter than in those that did not Poor results usually were associated with severe obstetric trauma
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