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[Reinterventions in secondary incontinence]

P Buchmann1, D De Lorenzi, A Müller

  • 1Chirurgische Klinik, Stadtspital Waid, Zürich.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|May 1, 1996
PubMed
Summary

Overlapping sphincter reconstruction effectively treats fecal incontinence, achieving a 70% long-term success rate. This surgical repair is particularly successful for incontinence caused by perineal tears.

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Area of Science:

  • Colorectal surgery
  • Pelvic floor reconstruction

Background:

  • Fecal incontinence significantly impacts quality of life.
  • Surgical repair is indicated for persistent or severe sphincter defects.

Purpose of the Study:

  • To evaluate the efficacy of overlapping sphincter reconstruction for fecal incontinence.
  • To compare outcomes based on the etiology of incontinence.

Main Methods:

  • Retrospective analysis of 54 overlapping sphincter reconstruction procedures in 47 patients.
  • Data collection on patient demographics, causes of incontinence, and surgical outcomes.
  • Assessment of short-term (30-day) and long-term success rates.

Main Results:

  • An 82% success rate at 30 days decreased to 70% at long-term follow-up.
  • Higher success rates were observed for incontinence due to perineal tears (81%) compared to fistulectomy (64%).
  • Complications were infrequent, with wound healing by second intention correlating with higher failure rates.

Conclusions:

  • Overlapping sphincter reconstruction is a successful treatment for fecal incontinence.
  • The procedure demonstrates superior outcomes when incontinence results from perineal tears.

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