Sphinkterersatzplastiken

Koch, S. M. P.; Baeten, C.G.

doi:10.1007/s00104-002-0563-9

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…Das Verständnis der Funktionsweisen der Methode und damit auch die Mitarbeit des Patienten sind unabdingbar erforderlich. Detaillierte Einzelheiten zur OP-Technik sind in der Literatur ausreichend beschrieben [3,29,48,58,72]. …”

Section: Sphinktersatzplastikenunclassified

Stuhlinkontinenz: Therapieoptionen

Braun

2004

Chirurg

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Diagnosis and management of fecal incontinence requires exact understanding of the anatomic and pathophysiologic principles involved and demands a methodical, stepwise approach. Despite the potential appeal of surgical intervention, a considerable number of patients can be helped by comparatively simple, noninvasive measures. Initial treatment should be medical, including biofeedback in combination with a bowel management program. In the presence of a severely denervated pelvic floor, physiotherapeutic techniques rarely give rise to a satisfactory and long-lasting response. Obvious external sphincter defects and patients who failed medical management are treated surgically. Many injuries of the external sphincter can be treated by direct sphincter repair. If patients with intact external sphincters are unresponsive to medical measures, descending perineum and resultant idiopathic fecal incontinence will improve by radio-frequency delivery, sacral nerve stimulation, or postanal plication. Patients with complex neurologic disorders or extensive sphincter defects or who have undergone previous unsuccessful attempts at repair of the puborectalis itself should be considered for dynamic gracilis plastic or an artificial sphincter.

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Section: Sphinktersatzplastikenunclassified

Stuhlinkontinenz: Therapieoptionen

Braun

2004

Chirurg

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“…Die Indikation zum ABS ist beim Misserfolg der Grazilisplastik oder bei mangelhafter Innervation des M. gracilis gegeben [3]. Ergebnisse der Rekonstruktion geburtstraumatischer Sphinkterdefekte.…”

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Stuhlinkontinenz: Operative Behandlung eines komplexen Problems

Raulf

2004

Wien Med Wochenschr

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Anal continence is maintained by the controlled synergism of all parts of the complex anal sphincter system and the normal functioning of the preposed gut. Operative treatment may improve the function of a single part of the system. In case of malfunction of more than one element of the anal sphincter, an operation may result in partial improvement. In these cases, additional conservative treatment is recommended. In a few cases, additional operations are needed. The indications for and results of the established operations for the treatment of anal incontinence will be discussed here.

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