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Surgical Management of Fecal Incontinence
General Surgery / Nov 7th, 2022 7:03 am     A+ | a-

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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.

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2 COMMENTS
Dr. Deepanshu Goyal
#1
Nov 10th, 2022 9:25 am
urgical 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. Abhishek Majumdar
#2
Nov 14th, 2022 1:59 pm
Fecal incontinence is the inability to have control of gas or stool evacuation and inability to defer the act of defecation until a socially proper time and place. Intact musculature including the puborectalis and internal and external anal sphincters are prerequisites for fecal control, as is a functioning nerve supply to these muscles. Other factors contributing to fecal continence include stool consistency, rectal sensitivity and capacity, and an intact anorectal sampling reflex. Any impairment to one or more of these factors can result in fecal incontinence.
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