Long-term assessment of fecal incontinence after lateral internal sphincterotomy

被引：26

作者：

Rotholtz N.A. ^{[1
]}

Bun M. ^{[1
]}

Mauri M.V. ^{[1
]}

Bosio R. ^{[1
]}

Peczan C.E. ^{[1
]}

Mezzadri N.A. ^{[1
]}

机构：

[1] Colorectal Section, Department of Surgery, Hospital Alemán, 1118 Buenos Aires

来源：

Techniques in Coloproctology | 2005年 / 9卷 / 2期

关键词：

Chronic anal fissure; Fecal incontinence; Lateral internal sphincterotomy;

D O I：

10.1007/s10151-005-0208-3

中图分类号：

学科分类号：

摘要：

Background: Lateral internal sphincterotomy (LIS) can cause fecal incontinence. The aim of this study was to evaluate this sequelae after long-term follow-up of patients treated by LIS and to identify possible associated factors. Methods: Data were retrospectively collected for patients with chronic anal fissure who had LIS between 1994 and 1997. Continence was assessed according to the incontinence score (IS) obtained by medical record review and telephone questionnaire. Statistical analysis was performed using by Student's t test for quantitative variables and chi-square test for qualitative variables. Results: All 68 patients evaluated had healed after fissure surgery. None of these patients had preoperative fecal incontinence neither recurrence at the time of follow-up. At a mean follow-up of 66.6 months (range, 30-84 months), 7 patients (10.2%) were incontinent (mean IS=8.2; range, 5-16) and none had recovered continence at the time of follow-up. There was no significant difference between patients with and without fecal incontinence relative to gender age, hemorrhoidectomy combined with LIS, or vaginal delivery. Conclusions: Incontinence due to LIS does not recover after long-term follow-up and appears to be an independent cause of fecal incontinence.

引用

页码：115 / 118

页数：3

共 35 条

[1]

Lin J.K., Anal manometric studies in hemorrhoids and anal fissures, Dis Colon Rectum, 39, pp. 839-842, (1989)

[2]

McNamara M.J., Percy J.P., Fielding I.R., A manometric study of anal fissure treated by subcutaneus lateral internal sphincterotomy, Ann Surg, 211, pp. 235-238, (1990)

[3]

Cerdan F.J., Riuz De Leon A., Azpiroz F., Et al., Anal sphincter pressure in fissure-in-ano before and after lateral internal sphincterotomy, Dis Colon Rectum, 25, pp. 198-201, (1982)

[4]

Lewis T.H., Corman M.L., Prager L.D., Robertson W.G., Long-term results of open and closed sphincterotomy for anal fissure, Dis Colon Rectum, 31, pp. 368-371, (1988)

[5]

Abcarian H., Surgical correction of chronic anal fissure: Results of lateral internal sphincterotomy vs. fissurectomy-midline sphincterotomy, Dis Colon Rectum, 23, pp. 31-36, (1980)

[6]

Khubchandani I.T., Reed J.F., Sequelae of internal sphincterotomy for chronic fissure in ano, Br J Surg, 76, pp. 431-434, (1989)

[7]

Blessing H., Late results after individualized lateral internal sphincterotomy, Helv Chir Acta, 59, pp. 603-607, (1993)

[8]

Parks A.G., The management of fissure-in-ano, Hosp Med, 1, pp. 737-738, (1967)

[9]

Notaras M.J., Lateral subcutaneous sphincterotomy for anal fissure, a new technique, J R Soc Med, 62, (1969)

[10]

Ravikumar T.S., Sridahr S., Rao R.N., Subcutaneous lateral internal sphincterotomy for chronic fissure in ano, Dis Colon Rectum, 25, pp. 798-801, (1982)

← 1 2 3 4 →