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Surgical Technique for Sphinkeeper® Implantation.
Christopher Dawoud1, Daniel Moritz Felsenreich1, Felix Harpain1
1Department of General Surgery, Division of Visceral Surgery, Medical University Vienna, Austria.
Surgical Technology International
|October 18, 2023
Summary
Fecal incontinence affects many, with limited treatments. The Sphinkeeper® device offers a less-invasive surgical option for managing fecal incontinence by implanting prostheses.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Fecal incontinence (FI) significantly impacts quality of life.
- Prevalence ranges from 1% to 20% globally.
- Current treatments for FI are limited.
Purpose of the Study:
- To evaluate the Sphinkeeper® device for fecal incontinence management.
- To assess the safety and efficacy of this novel approach.
Main Methods:
- The Sphinkeeper® procedure involves 9-10 small incisions (2 mm) around the anus.
- Prostheses are implanted into the intersphincteric groove.
- Positioning is confirmed with endoanal ultrasound.
Main Results:
- Early data for the precursor device (Gatekeeper®) showed over 50% success.
- The modified Sphinkeeper® device allows implantation of up to 10 prostheses.
- The procedure is designed to be less invasive than traditional surgeries.
Conclusions:
- The Sphinkeeper® device presents a promising, less-invasive surgical alternative for fecal incontinence.
- Further studies are needed to fully establish its long-term efficacy and safety profile.
