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Related Experiment Videos

Gastroenterological options in faecal incontinence.

D C Bartolo1

  • 1Royal Infirmary of Edinburgh, Scotland.

Annales De Chirurgie
|January 1, 1991
PubMed
Summary

Faecal incontinence caused by trauma or rectal prolapse can be treated with surgical repair. Abdominal rectopexy offers satisfactory results for restoring continence and preventing recurrence in rectal prolapse cases.

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Area of Science:

  • Colorectal surgery
  • Gastroenterology
  • Pelvic floor disorders

Background:

  • Faecal incontinence is a debilitating condition often stemming from obstetric trauma, neurological disorders, or rectal prolapse.
  • Surgical interventions aim to restore sphincter integrity or support rectal structures.

Purpose of the Study:

  • To review surgical options for faecal incontinence.
  • To evaluate the efficacy of different surgical techniques for rectal prolapse-associated incontinence.

Main Methods:

  • Review of surgical procedures for sphincter repair (direct repair, levator plication).
  • Analysis of operative approaches for rectal prolapse (local procedures vs. abdominal rectopexy).
  • Comparison of various abdominal rectopexy techniques (Ripstein, suture rectopexy, Ivalon sponge, Marlex mesh, resection rectopexy).

Main Results:

  • Anterior sphincter plication and levatorplasty offer results comparable to post-anal repair for neurological damage.
  • Local operative procedures for rectal prolapse yield poor continence restoration.
  • Abdominal rectopexy techniques, particularly resection rectopexy, demonstrate satisfactory outcomes in terms of continence and recurrence, while mitigating constipation.

Conclusions:

  • Surgical management of faecal incontinence depends on the underlying cause, with distinct approaches for trauma, neurological issues, and rectal prolapse.
  • Abdominal rectopexy is an effective treatment for incontinence associated with full-thickness rectal prolapse.
  • Resection rectopexy addresses both incontinence and associated constipation, offering favorable long-term results.

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