PMID- 38367141
OWN - NLM
STAT- MEDLINE
DCOM- 20240527
LR  - 20240903
IS  - 2038-3312 (Electronic)
IS  - 2038-131X (Linking)
VI  - 76
IP  - 3
DP  - 2024 Jun
TI  - Anatomical sphincteroplasty as a surgical treatment for faecal incontinence: 
      proposal for a global anatomical reconstructive surgical procedure and results 
      from a case series.
PG  - 999-1007
LID - 10.1007/s13304-023-01749-4 [doi]
AB  - The aim of this study is to describe the technical details and clinical and 
      functional results of anatomical sphincteroplasty as a global reconstructive 
      surgery for the treatment of faecal incontinence caused by anal sphincter 
      lesions. This was a prospective, longitudinal study that included patients who 
      underwent the anatomical sphincteroplasty procedure described here to treat 
      complete sphincter damage. We have described the different technical steps in 
      detail. We evaluated the intraoperative and postoperative complications rate, 
      Cleveland Clinic Score (CCS), a modification of the CCS that included soiling 
      (mCCS), the Faecal Incontinence Quality of Life Scale (FIQLS), and patient 
      satisfaction. An endoanal ultrasound and anorectal manometric study were 
      performed in all the patients. Forty-four patients were included with a mean of 
      40.5 months follow-up. The CCS reduced from 15 to 3.3 points and the mCCS from 
      18.5 to 4.5 points over the study period; p < 0.001. Excellent or good results 
      were achieved in 93% of cases. Endoanal ultrasounds showed a good sphincter 
      repair in 66% of the cases. Anorectal manometry showed an increase in the mean 
      maximal resting pressure from 27.6 mmHg to 41.7 mmHg and of the maximal squeeze 
      pressure from 57.9 to 93 mmHg (p < 0.001) with respect to the preoperative 
      values. Anatomical sphincteroplasty is a surgical proposal for the global 
      anatomical reconstruction of anal sphincter lesions, even in cases of very severe 
      damage. The procedure is safe and produced excellent clinical and functional 
      results after a medium-term follow-up.
CI  - (c) 2024. Italian Society of Surgery (SIC).
FAU - Garcia-Armengol, Juan
AU  - Garcia-Armengol J
AUID- ORCID: 0000-0002-0355-2260
AD  - European Centre of Colorectal SurgeryColoproctology Unit, Hospital Vithas 
      Valencia 9 de Octubre, Valencia, Spain. juan.g.armengol@gmail.com.
FAU - Martinez-Perez, Carolina
AU  - Martinez-Perez C
AUID- ORCID: 0000-0003-3332-9745
AD  - Colorectal Surgery Unit, Consorcio Hospital General Universitario de Valencia, 
      Valencia, Spain.
FAU - Roig-Vila, Jose V
AU  - Roig-Vila JV
AUID- ORCID: 0000-0002-8433-140X
AD  - European Centre of Colorectal SurgeryColoproctology Unit, Hospital Vithas 
      Valencia 9 de Octubre, Valencia, Spain.
FAU - Garcia-Gausi, Maria
AU  - Garcia-Gausi M
AUID- ORCID: 0000-0002-7836-7641
AD  - European Centre of Colorectal SurgeryColoproctology Unit, Hospital Vithas 
      Valencia 9 de Octubre, Valencia, Spain.
AD  - Colorectal Surgery Unit, Hospital Punta de Europa, Algeciras, Spain.
FAU - Pla-Marti, Vicente
AU  - Pla-Marti V
AUID- ORCID: 0000-0001-7644-8416
AD  - European Centre of Colorectal SurgeryColoproctology Unit, Hospital Vithas 
      Valencia 9 de Octubre, Valencia, Spain.
AD  - Colorectal Surgery Unit, Hospital Clinico Universitario de Valencia, Valencia, 
      Spain.
FAU - Garcia-Coret, Maria J
AU  - Garcia-Coret MJ
AUID- ORCID: 0000-0002-1743-0838
AD  - Colorectal Surgery Unit, Consorcio Hospital General Universitario de Valencia, 
      Valencia, Spain.
FAU - Moro-Valdezate, David
AU  - Moro-Valdezate D
AUID- ORCID: 0000-0003-0425-8677
AD  - European Centre of Colorectal SurgeryColoproctology Unit, Hospital Vithas 
      Valencia 9 de Octubre, Valencia, Spain.
AD  - Colorectal Surgery Unit, Hospital Clinico Universitario de Valencia, Valencia, 
      Spain.
LA  - eng
PT  - Journal Article
DEP - 20240217
PL  - Italy
TA  - Updates Surg
JT  - Updates in surgery
JID - 101539818
SB  - IM
MH  - Humans
MH  - *Fecal Incontinence/surgery/etiology
MH  - *Anal Canal/surgery
MH  - Female
MH  - Middle Aged
MH  - Male
MH  - Prospective Studies
MH  - Aged
MH  - Adult
MH  - Treatment Outcome
MH  - *Manometry
MH  - *Plastic Surgery Procedures/methods
MH  - Quality of Life
MH  - Longitudinal Studies
MH  - Follow-Up Studies
MH  - Patient Satisfaction
MH  - Endosonography/methods
MH  - Postoperative Complications
OTO - NOTNLM
OT  - Anal incontinence
OT  - Anal sphincter injuries
OT  - Overlapping sphincteroplasty
OT  - Reconstructive surgery
EDAT- 2024/02/17 21:42
MHDA- 2024/05/27 12:42
CRDT- 2024/02/17 11:07
PHST- 2023/11/02 00:00 [received]
PHST- 2023/12/29 00:00 [accepted]
PHST- 2024/05/27 12:42 [medline]
PHST- 2024/02/17 21:42 [pubmed]
PHST- 2024/02/17 11:07 [entrez]
AID - 10.1007/s13304-023-01749-4 [pii]
AID - 10.1007/s13304-023-01749-4 [doi]
PST - ppublish
SO  - Updates Surg. 2024 Jun;76(3):999-1007. doi: 10.1007/s13304-023-01749-4. Epub 2024 
      Feb 17.