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[Surgical treatment of fecal incontinence in children]
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.
Abstract:
The experience of the faeces incontinence treatment in 295 children (age ranged from 1 to 15 years) is presented. Several original operations for surgical correction of the sphincter ani asthenia are proposed. The authors think that radical correction of faeces incontinence in children is necessary as early as at the age 6 to 7 years that is at the beginning of social activity. Efficient use of the above methods of the rectum closing apparatus creation allowed to achieve good results in 77.3-85.7% of the children.