Long-term results of anterior levatorplasty for fecal incontinence

1996 ◽  
Vol 39 (6) ◽  
pp. 671-675 ◽  
Author(s):  
A. österberg ◽  
W. Graf ◽  
A. Holmberg ◽  
L. Påhlman ◽  
A. Ljung ◽  
...  
1997 ◽  
Vol 40 (7) ◽  
pp. 835-839 ◽  
Author(s):  
S. Körsgen ◽  
K. I. Deen ◽  
M. R. B. Keighley

2000 ◽  
Vol 43 (9) ◽  
pp. 1262-1266 ◽  
Author(s):  
Ann-Katrine Ryn ◽  
Geert L. Morren ◽  
Olof Hallböök ◽  
Rune Sjödahl

2000 ◽  
Vol 17 (4) ◽  
pp. 390-394 ◽  
Author(s):  
J. Rothbarth ◽  
W.A. Bemelman ◽  
W.J.H.J. Meijerink ◽  
M.E. Buyze-Westerweel ◽  
J.G. van Dijk ◽  
...  

2017 ◽  
Vol 4 (4) ◽  
pp. 1276
Author(s):  
S. Asif Ali ◽  
Mohammad Fazelul Rahman Shoeb

Background: Haemorrhoids are common clinical conditions. Their treatment is one of the most challenging situations in the field of general surgery. In this study, we compared and evaluated the results and postoperative complications of Lords dilatation procedure and haemorrhoidectomy.Methods: The study evaluates comparative results of Lords dilatation procedure and haemorrhoidectomy. This study was conducted over a period of 1 year from January 1984 to December 1984. It includes 40 patients with haemorrhoids who attended surgical OPD of Krishnarajendra Hospital, Mysore. These 40 patients were selected randomly and divided into two groups of 20 patients each (Lords dilatation group and haemorrhoidectomy group). All parameters including clinical, physical and baseline investigations for all patients were recorded and finally analysed.Results: The age of the patients ranged from 20-70 years. Male preponderance was observed (7:1). The commonest symptoms were mass per rectum (90% and 85%) and bleeding P/R (85%), pain during defecation (85% and 70%) in Lords dilatation and haemorrhoidectomy groups respectively. Protoscopic examination revealed the presence of grade II haemorrhoids in most of the patients in both the groups, 45% and 65% respectively. Postoperative complications including pain, sphincter incontinence, bleeding and urinary retention is high in haemorrhoidectomy group as compared to Lords dilatation group. Recurrence of haemorrhoids (5%) and fecal incontinence (5%) was observed in Lords dilatation group after 6 months of treatment.Conclusions: Haemorrhoidectomy for treatment of hemorrhoids offers the best immediate and long term results compared to Lords dilatation. 


Author(s):  
D. Mege ◽  
A. Omouri ◽  
A. Maignan ◽  
I. Sielezneff

2017 ◽  
Vol 152 (5) ◽  
pp. S313
Author(s):  
Henri Damon ◽  
Xavier Barth ◽  
Sabine Roman ◽  
Aurelien Garros ◽  
Francois Mion

2020 ◽  
Vol 36 (1) ◽  
pp. 58-61
Author(s):  
Saket Kumar ◽  
Noushif Medappil ◽  
Sunil Kumar Singh ◽  
Abhijit Chandra

Despite significant advancements in the field of medicine, management of complex obstetric perineal injuries remains a challenge. Although several surgical techniques have been described, no techniques have provided satisfactory long-term results. Recently, a perineal transposed antropyloric valve has been used for anorectal reconstruction in patients with damaged or excised anal sphincters. We describe this technique in the case of complex obstetric perineal trauma with extensive tissue loss, presenting with end stage fecal incontinence. The functional outcome after this procedure was evaluated. The patient tolerated the surgery well, and there were no procedure-related upper gastrointestinal disturbances. Short-term functional outcomes were encouraging. At the 36-month follow-up, the patient’s neoanal resting and squeeze pressures were 50 and 70 mmHg, respectively. The postoperative St. Mark’s incontinence score was 7. Perineal antropyloric valve transposition is feasible and can be successfully applied in the management of end-stage fecal incontinence associated with complex obstetric perineal injury.


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