Overlapping anal sphincter repair for faecal incontinence due to sphincter trauma: five year follow-up functional results.

Abstract:

:Disruption of the anal sphincter results from obstetric injury, ano-rectal operations or external trauma. Obstetric or surgical division of the sphincteric mechanism may not be immediately apparent and the clinical presentation of incontinence may occur several years later [1, 2]. Reconstruction of the sphincter using a fascial sling or direct end-to-end repair of the disrupted sphincter result in a high failure rate. Failure after direct end-to-end repair is usually caused by break down of the suture line owing to retraction of the muscle ends [3]. Parks advocated an overlapping repair [4] in which the disrupted ends of the sphincter were mobilised and wrapped around each other. This paper reports the results of overlapping sphincter repair for faecal incontinence resulting from trauma, after a 5 year follow-up period.

journal_name

Int J Colorectal Dis

authors

Londono-Schimmer EE,Garcia-Duperly R,Nicholls RJ,Ritchie JK,Hawley PR,Thomson JP

doi

10.1007/BF00699424

subject

Has Abstract

pub_date

1994-05-01 00:00:00

pages

110-3

issue

2

eissn

0179-1958

issn

1432-1262

journal_volume

9

pub_type

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