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Related Experiment Videos

Physiotherapy to improve faecal control after Stephens' rectoplasty in high imperforate anus.

E Arnbjörnsson, U Breland, C M Kullendorff

    Zeitschrift Fur Kinderchirurgie : Organ Der Deutschen, Der Schweizerischen Und Der Osterreichischen Gesellschaft Fur Kinderchirurgie = Surgery in Infancy and Childhood
    |April 1, 1986
    PubMed
    Summary

    Physiotherapy improves fecal continence after Stephens

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    Area of Science:

    • Medicine
    • Surgery
    • Rehabilitation

    Background:

    • High imperforate anus is a congenital condition requiring surgical correction.
    • Stephens' rectoplasty is a surgical technique used to treat high imperforate anus.
    • Fecal continence is a critical outcome following surgical repair.

    Purpose of the Study:

    • To investigate the efficacy of physiotherapy in improving fecal continence after Stephens' rectoplasty.
    • To assess the impact of perianal musculature training on fecal control.
    • To evaluate the role of physiotherapy in patients with persistent incontinence post-surgery.

    Main Methods:

    • Clinical assessment and ano-rectal manometry were conducted.
    • Measurements were taken over 7 years post-surgery.

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  • A one-year physiotherapy training program for perianal muscles was implemented.

    • Main Results:

    • Fecal continence significantly improved after the physiotherapy training period.
    • Ano-rectal manometry findings corroborated the clinical improvement in fecal control.
    • Stephens' rectoplasty can achieve fecal continence, with physiotherapy offering further benefits.

    Conclusions:

    • Stephens' rectoplasty is an effective procedure for achieving fecal continence.
    • Postoperative physiotherapy, including perianal muscle training, is valuable for patients with residual incontinence.
    • Physiotherapy can enhance functional outcomes and improve quality of life after imperforate anus repair.