OVERLAPPING ANAL-SPHINCTER REPAIR FOR FECAL INCONTINENCE DUE TO SPHINCTER TRAUMA - 5-YEAR FOLLOW-UP FUNCTIONAL RESULTS

被引：96

作者：

LONDONOSCHIMMER, EE ^{[1
]}

GARCIADUPERLY, R ^{[1
]}

NICHOLLS, RJ ^{[1
]}

RITCHIE, JK ^{[1
]}

HAWLEY, PR ^{[1
]}

THOMSON, JPS ^{[1
]}

机构：

[1] ST MARKS HOSP,LONDON EC1V 2PS,ENGLAND

来源：

INTERNATIONAL JOURNAL OF COLORECTAL DISEASE | 1994年 / 9卷 / 02期

关键词：

D O I：

10.1007/BF00699424

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

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.

引用

页码：110 / 113

页数：4

共 22 条

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