Recent innovations in the management of fecal incontinence.

Abstract:

:The importance of having a reproducible scoring system to objectively assess the severity of fecal incontinence and its response to treatment is stressed, and a number of methods are described. The approach to conservative treatment and investigation is outlined. Recent advances in the surgical management of fecal incontinence including the electrically stimulated gracilis neosphincter, sacral nerve stimulation, the artificial anal sphincter, internal anal sphincter augmentation, rectal augmentation, and antegrade colonic irrigation are described in detail.

journal_name

Semin Pediatr Surg

authors

Darakhshan AA,Williams NS

doi

10.1053/spsu.2002.31806

keywords:

subject

Has Abstract

pub_date

2002-05-01 00:00:00

pages

83-90

issue

2

eissn

1055-8586

issn

1532-9453

pii

S1055858602500159

journal_volume

11

pub_type

杂志文章,评审
  • The Internet: past, present and future.

    abstract::Although the Worldwide Web has just blossomed this past decade, the origins of the Internet date to the late 1950s and Cold War concerns. The technological underpinning of the Internet rests with the concept of packet switching of data over dispersed routes of electronic intercommunication. Grounded in applications fo...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章

    doi:10.1016/s1055-8586(00)70002-3

    authors: Whalen TV

    更新日期:2000-02-01 00:00:00

  • Blunt cerebrovascular injury in children.

    abstract::Blunt cerebrovascular injury in children is an uncommon occurrence that if missed and left untreated can result in devastating long-term neurologic consequences. Diagnosis can be readily obtained by a computed tomographic angiogram of the head and neck. If confirmed, treatment with antithrombotic therapy dramatically ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2017.01.003

    authors: Fenton SJ,Bollo RJ

    更新日期:2017-02-01 00:00:00

  • Necrotizing enterocolitis: Pathophysiology from a historical context.

    abstract::Necrotizing enterocolitis (NEC) continues to afflict approximately 7% of preterm infants born weighing less than 1500g, though recent investigations have provided novel insights into the pathogenesis of this complex disease. The disease has been a major cause of morbidity and mortality in neonatal intensive care units...

    journal_title:Seminars in pediatric surgery

    pub_type: 历史文章,杂志文章,评审

    doi:10.1053/j.sempedsurg.2017.11.003

    authors: Hackam D,Caplan M

    更新日期:2018-02-01 00:00:00

  • Fetal surgery for spina bifida: past, present, future.

    abstract::Open spina bifida or myelomeningocele (MMC) is a common birth defect that is associated with significant lifelong morbidity. Little progress has been made in the postnatal surgical management of the child with spina bifida. Postnatal surgery is aimed at covering the exposed spinal cord, preventing infection, and treat...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2012.10.003

    authors: Adzick NS

    更新日期:2013-02-01 00:00:00

  • Parathyroid conditions in childhood.

    abstract::This review of parathyroid surgery in children will briefly discuss parathyroid gland embryology and anatomy before focusing on the pathophysiology, clinical presentation, and treatment of hyperparathyroidism in children. Hyperparathyroidism (HPT) is the overproduction of PTH and it is rare in children, with an incide...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2014.03.003

    authors: Burke JF,Chen H,Gosain A

    更新日期:2014-04-01 00:00:00

  • Surgical options for short bowel syndrome.

    abstract::Most children with short bowel syndrome experience spontaneous small bowel adaptation over time. This allows the majority to be weaned from parenteral nutrition. There are, however, some children who cannot be weaned and are potential candidates for techniques to promote intestinal adaptation and intestinal lengthenin...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/spsu.2001.22855

    authors: Vernon AH,Georgeson KE

    更新日期:2001-05-01 00:00:00

  • Parasitic infestations requiring surgical interventions.

    abstract::Parasitic infestation is common in developing countries especially in Africa. Children are often more vulnerable to these infections. Many health problems result from these infestations, including malnutrition, iron-deficiency anemia, surgical morbidities, and even impaired cognitive function and educational achieveme...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2012.01.009

    authors: Hesse AA,Nouri A,Hassan HS,Hashish AA

    更新日期:2012-05-01 00:00:00

  • Imaging techniques to assess the pelvis in young females.

    abstract::This article is designed to help the nonradiologist to form a logical imaging plan when presented with a diagnostic dilemma involving the pelvis of a young female. Common presenting problems are grouped under the categories of fetus, neonate and infant, child, and adolescent. Ultrasound is frequently the initial, and ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1016/s1055-8586(98)70008-3

    authors: Barnewolt CE

    更新日期:1998-02-01 00:00:00

  • Surgical management of neuroblastoma.

    abstract::Neuroblastoma treatment remains challenging but has been advanced by the establishment of clinical and biological variables that determine prognostic risk. Risk-based therapy currently is the hallmark of neuroblastoma treatment. Initially, stage and age were the prime determinants of survival used in clinical practice...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章

    doi:10.1053/spsu.2001.24889

    authors: La Quaglia MP

    更新日期:2001-08-01 00:00:00

  • Neonatal cardiovascular physiology.

    abstract::The pediatric surgeon deals with a large number and variety of congenital defects in neonates that frequently involve early surgical intervention and care. Because the neonatal cardiac physiology is unique, starting with the transition from fetal circulation and including differences in calcium metabolism and myocardi...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2013.10.004

    authors: Hines MH

    更新日期:2013-11-01 00:00:00

  • Hemangiomas, cystic hygromas, and teratomas of the head and neck.

    abstract::Hemangiomas, cystic hygromas, and teratomas are the most common bulky lesions presenting in the head and neck of infants, but cystic hygromas and teratomas are rare, and most hemangiomas are initially small. Historically, hemangiomas have been watched with the belief that they all involute with good results. Recogniti...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Filston HC

    更新日期:1994-08-01 00:00:00

  • Planning the operation.

    abstract::The management of conjoined twins falls into three distinct groups-non-operative, emergency separation and elective separation. Planning meetings involving all the personnel who will be required during the operation are held. The radiological findings are presented and the anaesthetic, nursing and intensive care requi...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章

    doi:10.1053/j.sempedsurg.2015.06.004

    authors: Kiely EM,Spitz L

    更新日期:2015-10-01 00:00:00

  • Long-term outcomes of pediatric intestinal failure.

    abstract::Management of pediatric intestinal failure has evolved in recent decades, with improved survival since the advent of specialized multidisciplinary intestinal failure centers. Though sepsis and intestinal failure associated liver disease still contribute to mortality, we now have growing data on the long-term outcomes ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2017.09.006

    authors: Fullerton BS,Hong CR,Jaksic T

    更新日期:2017-10-01 00:00:00

  • Ethics in the management of conjoined twins.

    abstract::In dealing with conjoined twins, we have adopted a pragmatic approach in balancing what is possible, parental wishes and the likely outcome for the children. We believe that separation where feasible should be undertaken but appreciate that a few parents may wish their children to remain joined. The advice that we giv...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章

    doi:10.1053/j.sempedsurg.2015.06.008

    authors: Spitz L

    更新日期:2015-10-01 00:00:00

  • Telemedicine in the perioperative experience.

    abstract::Telemedicine, the remote diagnosis and treatment of patients by means of technology, provides an alternative means for patients to gain access to health care services. Telemedicine is a general term that includes the use of various communication technologies, including telephone, email, or videoconferencing. Telemedic...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2018.02.007

    authors: Lesher AP,Shah SR

    更新日期:2018-04-01 00:00:00

  • Surveys: Merging qualitative and quantitative research methods.

    abstract::Survey methodologies enable researchers to obtain information not routinely captured in electronic medical records, including how delivery of surgical care is perceived through the lens of a child, a parent or caregiver, or a surgeon. Here we describe the approach to using surveys to aid pediatric surgery practice. Th...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2018.10.007

    authors: Kelley-Quon LI

    更新日期:2018-12-01 00:00:00

  • Delayed fistulization from esophageal replacement surgery.

    abstract::We present two patients who developed delayed fistulization following esophageal replacement surgery. The first is a 13-year-old child who, at the age of 3 years, underwent a trans-mediastinal colonic esophageal replacement for a refractory corrosive injury followed by a retrosternal reverse gastric tube after an earl...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章

    doi:10.1053/j.sempedsurg.2009.02.008

    authors: Abdalwahab A,Al Namshan M,Al Rabeeah A,Laberge JM

    更新日期:2009-05-01 00:00:00

  • Difficult esophageal atresia: trick and treat.

    abstract::Although most patients with esophageal atresia (EA) and tracheo-esophageal fistula (TEF) may benefit from "standard" management, which is deferred emergency surgery, some may present unexpected elements that change this paradigm. Birth weight, associated anomalies, and long gap can influence the therapeutic schedule o...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2014.09.006

    authors: Conforti A,Morini F,Bagolan P

    更新日期:2014-10-01 00:00:00

  • The pediatric surgeon and palliative care.

    abstract::Palliative care is now a core component of pediatric care for children and families who are confronting serious illness with a low likelihood of survival. Pediatric surgeons, in partnership with pediatric palliative care teams, can play a pivotal role in assuring that these patients receive the highest possible qualit...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2013.05.004

    authors: Feudtner C,Blinman TA

    更新日期:2013-08-01 00:00:00

  • Current management of hypertrophic pyloric stenosis.

    abstract::Hypertrophic pyloric stenosis (HPS) is a common condition affecting infants that presents with progressive projectile nonbilious vomiting. The pyloric portion of the stomach becomes abnormally thickened and manifests as gastric outlet obstruction. The cause is unknown. Pyloromyotomy remains the standard of treatment a...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2006.10.004

    authors: Aspelund G,Langer JC

    更新日期:2007-02-01 00:00:00

  • Pediatric germ cell tumors.

    abstract::Pediatric germ cell tumors represent a diverse group of tumors that present from in utero through adolescence at many nongonadal locations, from the neck to the sacrococcygeal region. Surgical resection remains the central element of management, and accurate surgical staging is essential to properly ascertain the corr...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2011.10.005

    authors: Rescorla FJ

    更新日期:2012-02-01 00:00:00

  • Virtue ethics in a pluralistic world.

    abstract::The practice of pediatric surgery is at the crossroads of 2 specialties, pediatrics and surgery. At that vantage point, many ethical dilemmas can be seen. It is important for the pediatric surgeon to understand the special place of ethics in the care of children and how that care is influenced by society. The purpose ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/spsu.2001.26837

    authors: Beals DA

    更新日期:2001-11-01 00:00:00

  • Insights into medical management of pediatric intestinal failure.

    abstract::Medical management of children with Intestinal failure continues to evolve. The development of specialized teams focused on the management of these children has made the most significant impact in improving outcomes. Medical management strategies are centered on the provision of adequate fluid electrolytes and calorie...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2018.07.006

    authors: Oliveira SB,Cole CR

    更新日期:2018-08-01 00:00:00

  • Transition from pediatric to adult surgery care for patients with disorders of sexual development.

    abstract::Disorders of sexual development (DSDs) are relatively rare congenital conditions in which the development of the chromosomal, gonadal, or anatomic sex is atypical. Some conditions may not manifest until puberty or adulthood. The examination and workup of either an infant or an older patient with suspected DSD should b...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2015.01.009

    authors: McCracken KA,Fallat ME

    更新日期:2015-04-01 00:00:00

  • Managing radiation risk in the evaluation of the pediatric trauma patient.

    abstract::Pediatric trauma is usually a nonoperative experience for the pediatric general surgeon. The pediatric trauma surgeon resuscitates the child and then evaluates and triages the identified injuries. A common diagnostic tool is the computed tomography (CT) scan. Most children who require evaluation for significant trauma...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2010.06.004

    authors: Scaife ER,Rollins MD

    更新日期:2010-11-01 00:00:00

  • The Swiss cheese model of adverse event occurrence--Closing the holes.

    abstract::Traditional surgical attitude regarding error and complications has focused on individual failings. Human factors research has brought new and significant insights into the occurrence of error in healthcare, helping us identify systemic problems that injure patients while enhancing individual accountability and teamwo...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章

    doi:10.1053/j.sempedsurg.2015.08.003

    authors: Stein JE,Heiss K

    更新日期:2015-12-01 00:00:00

  • Postanesthesia recovery.

    abstract::The care provided in the postanesthesia recovery unit has become much more sophisticated in recent years. We address what type of care should be provided and what equipment is required to provide such care in the present day pediatric postanesthesia care unit. In this regard a wide variety of potential postanesthetic ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Bryant LD,Dierdorf SF

    更新日期:1992-02-01 00:00:00

  • Mechanisms of gut barrier failure in the pathogenesis of necrotizing enterocolitis: Toll-like receptors throw the switch.

    abstract::Necrotizing enterocolitis (NEC) is the leading cause of death from gastrointestinal causes in premature infants, and its overall survival has not improved in the past three decades. While the precise cause of NEC remains incompletely understood, we and others have shown that a major predisposing factor in the developm...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2013.01.003

    authors: Hackam DJ,Good M,Sodhi CP

    更新日期:2013-05-01 00:00:00

  • Vascular imaging in children.

    abstract::Advances in technology have brought about the wide variety of imaging modalities that are presently available. The development of digital subtraction angiography, computed tomography, ultrasonography, and magnetic resonance imaging have had a particular impact on vascular imaging. These modalities, general principles ...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Meyer JS,Fellows KE

    更新日期:1994-05-01 00:00:00

  • Congenital diaphragmatic hernia.

    abstract::Congenital diaphragmatic hernia (CDH) is a congenital anomaly consisting of a posterolateral defect in the diaphragm also known as a Bochdalek hernia. It occurs in 1 in 2000 to 3000 newborns and is associated with a variable degree of pulmonary hypoplasia (PH) and persistent pulmonary hypertension (PPH). Despite remar...

    journal_title:Seminars in pediatric surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.sempedsurg.2010.03.001

    authors: Keijzer R,Puri P

    更新日期:2010-08-01 00:00:00