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[Surgical treatment of fecal incontinence in children]

Iu F Isakov, E A Stepanov, A N Smirnov

    Khirurgiia
    |May 9, 2000
    PubMed

    Insights

    Surgical correction of fecal incontinence in children, specifically sphincter ani asthenia, can achieve good results. Early intervention by age 6-7 is recommended for improved social integration and treatment outcomes.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Colorectal Surgery

    Background:

    • Fecal incontinence in children significantly impacts quality of life and social development.
    • Sphincter ani asthenia is a common cause of pediatric fecal incontinence requiring surgical intervention.

    Purpose of the Study:

    • To present surgical treatment experiences for fecal incontinence in 295 children.
    • To propose novel surgical techniques for correcting sphincter ani asthenia.
    • To emphasize the importance of early surgical correction for improved long-term outcomes.

    Main Methods:

    • Surgical correction of sphincter ani asthenia using several original operative techniques.
    • Treatment of fecal incontinence in a cohort of 295 children aged 1 to 15 years.

    Main Results:

    • Good to excellent results achieved in 77.3% to 85.7% of pediatric patients.
    • Successful creation of a functional rectum closing apparatus.
    • Demonstrated efficacy of proposed surgical methods.

    Conclusions:

    • Radical surgical correction of fecal incontinence in children is necessary at an early age (6-7 years).
    • Early intervention facilitates better social integration and functional outcomes.
    • The presented surgical methods offer a viable and effective treatment for pediatric fecal incontinence.

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