Sacral nerve stimulation for treatment of anal incontinence [preliminary report]

Neurostimulation is a new treatment option for patients with end- stage faecal incontinence in whome there were failure of all conservative measures and operative interventions to repair the sphincter, where colostomy is the only remaining option. To evaluate the efficacy of sacral nerve stimulation as a neurostimulation in restoration of anal function of incontinent patients. Seven patients have successfully completed the temporary nerve stimulation. All seven patients showed a significant improvement of pre test symptoms with reduction of more than 50% of their symptoms, and reported significant improvement of modified Williams score and anal manometry both resting and squeeze pressure. All these seven cases were submitted for permanent implantation of implantable pulse generator [IPG]. Sacral nerve stimulation is a useful method in a certain group of patients, as it is easy to carry out, well tolerated by the patients and its result can be predicted by the results of temporary nerve stimulation

diverting stoma necessary for different coloanal anastomoses?

To evaluate the importance of diverting stomas in decreasing complications after coloanal anastomosis. Thirty patients with low rectal adenocarcinomas underwent low anterior resection and 15 of them underwent stoma construction. Follow-up was 3 years. There was 18 male and 12 female. Non-stoma patients tended to have more early complications and more probability of being free of stricture at 3 years. Straight anastomosis has greater rates of complications than anastomosis after coloplasty or colonic pouch. Defunctioning stoma has a protective role after low anterior resection after different coloanal anastomosis