Surgical Management of Fecal Incontinence
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For patients with fecal incontinence refractory to medical treatment, surgery may be an option. As the surgical intervention is invasive and carries the risk of complications, it is important to assess the efficacy of surgery, the incidence of adverse events, and whether the results of the operation are sustained over time. Implantation/injection of micro balloons, carbon-coated beads, autologous fat, silicone, and collagen. The relative effectiveness of surgical options for treating fecal incontinence is not known. A combination of different surgical and non-surgical therapies may be optimal. When dynamic graciloplasty is successful in curing FI, up to 50% of patients may develop signs and symptoms of obstructed defecation. This is also termed artificial anal sphincter or neosphincter. The usual surgical approach is through the perineum or alternatively via the vagina. Contact Us: World Laparoscopy Hospital Cyber City Gurugram, NCR Delhi, 122002 India +91 9811416838 india@laparoscopyhospital.com World Laparoscopy Training Institute Building No: 27 Block A Dubai Healthcare City, P.O.Box: 505242 Dubai, United Arab Emirates +97 1524833967 uae@laparoscopyhospital.com World Laparoscopy Training Institute 8320 Inverness Drive, Tallahassee, Florida, 32312 United States of America +1 321 250 7653 usa@laparoscopyhospital.com
2 COMMENTS
Dr. Sudheer Kansal
#1
Nov 9th, 2022 7:27 am
Watching this video shows that Surgical management of fecal incontinence should be reserved for patients with identifiable anal sphincter defects. It includes sphincteroplasty, which is indicated for sphincter disruption after surgical procedures, and muscle transpositions procedures, that are recommended when anal incontinence is secondary to anal sphincter disruption unresponsive to repair, neurogenic sphincter compromise, or congenital sphincter disorders. Muscle transpositions procedures include graciloplasty and gluteoplasty.
Dr. Daahab Chisti
#2
Oct 26th, 2023 9:23 am
For patients dealing with fecal incontinence resistant to medical interventions, surgery can be a consideration, albeit with its invasiveness and potential complications. Surgical options like implantation or injection of various materials are available, but their relative effectiveness remains uncertain. Combining surgical and non-surgical therapies may offer the best outcomes. It's worth noting that while dynamic graciloplasty can cure fecal incontinence, some patients may develop signs of obstructed defecation. This procedure is also known as an artificial anal sphincter or neosphincter, and it can be performed via the perineum or vagina.
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