Surgical approaches to anal incontinence.

  title={Surgical approaches to anal incontinence.},
  author={Wong Wd and Rothenberger Da},
Primary repair of acute anal sphincter injuries by direct apposition of the severed external sphincter without tension is advisable whenever feasible. However, the majority of patients who are candidates for surgical treatment of anal incontinence will undergo a secondary repair, the type of which will depend on the underlying aetiology and the surgeon's preference and experience. The most successful of these procedures is sphincter reconstruction with or without levatoroplasty for a disrupted… Expand
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Neue Möglichkeiten der Inkontinenzbehandlung durch dynamische Grazilisplastik und „artificial bowel sphincter”
Dynamische Grazilisplastik and der künstliche Darmschließmuskel („artificial bowel sphincter”, ABS) werden als zwei neue Wege zur Beseitigung der Stuhlinkontinenz anhand eigener Erfahrungen beschrieben. Expand


Results of Parks operation for faecal incontinence after anal sphincter injury.
The results show that even after severe injury to the sphincters surgical reconstruction can restore continence in most patients. Expand
Delayed external sphincter repair for obstetric tear
The functional result of delayed anal sphincter repair after obstetric lesions is partly dependent upon whether the nerve supply is intact, and pre‐operative physiological evaluation can give information on the probability of a successful surgical result. Expand
Overlapping sphincteroplasty for acquired anal incontinence
Using overlapping sphincteroplasty in 79 patients with fecal incontinence from 1952 to 1982 with results ranging from excellent to poor with only one failure concluded that several factors were important for good surgical results. Expand
Pathogenesis and management of fecal incontinence in the adult.
: In the author's opinion, post-anal repair remains the procedure of choice for patients with levator neuropathy and loss of anorectal angle. The operation is minimally invasive and relatively freeExpand
Prospective study of the effects of postanal repair in neurogenic faecal incontinence
Sixteen patients with neurogenic faecal incontinence confirmed by a raised fibre density in the external anal sphincter underwent postanal repair and continence was improved in 14 patients, 6 of whom regained normal continence, at a minimum of 15 months follow‐up. Expand
Sphincter repair for fecal incontinence
Patients who had sphincter repair by one surgeon over the last ten years were reviewed and poor results usually were associated with severe obstetric trauma. Expand
Postanal repair for neuropathic faecal incontinence: Correlation of clinical result and anal canal pressures
The results show that postanal repair effectively lengthens the anal canal and increases anal pressures in patients with a successful clinical outcome. Expand
Sphincter repair with a Silastic® sling for anal incontinence and rectal procidentia
S Sphincter repair with a Silastic sling is a safe, reliable alternative in the treatment of selected patients with anal incontinence or rectal procidentia and among patients for whom follow-up data were available, satisfaction with the results was excellent in two patients, good in six, fair in two, and poor in one. Expand
Prospective study of conservative and operative treatment for faecal incontinence
It is concluded that the anorectal angle is not crucial in maintaining continence and Resting and ‘squeeze’ anal canal pressures were improved following postanal repair as was upper anal canal sensation but there was no change in the anoresis. Expand
Clinical and manometric assessment of gracilis muscle transplant for fecal incontinence
Functional results of the gracilis muscle transplant for fecal incontinence were poor in all patients and a colostomy has now been raised in all cases and the operation was not associated with any objective improvement in resting or voluntary component pressure. Expand