Surgically Correctable Fecal Incontinence Associated with Traumatic Duhamel Operation: A Report of Three Cases
Journal of the Korean Society of Coloproctology
;
: 137-140, 2002.
Artigo
em Inglês
| WPRIM
| ID: wpr-198186
ABSTRACT
We present 3 cases of fecal incontinence associated with traumatic injury during Duhamel procedure. Three male patients suffered from persistent fecal soiling and incontinence for more than 7 years after definitive surgery for Hirschsprung's disease by a pediatric surgeon. They showed grade 4 frequent major soiling, mild patulous anus, and flattening of the anorectal angle due to traumatic injury of the external sphincter and puborectalis muscle on the posterior midline of the anorectal junction. On Parks postanal pelvic floor repair procedures, the incontinent symptoms were abated, anatomic changes were normalized, and postoperative Kirwan classification scales were markedly improved from grade 4 to grade 1. Patients with fecal incontinence after Duhamel operation for Hirschsprung's disease may have a traumatic injury of the anal sphincter. Careful physical and laboratory examinations should be performed for the confirmation of traumatic injury in these patients, and Parks postanal repair could be the treatment of choice for the correction of incontinence.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Canal Anal
/
Solo
/
Pesos e Medidas
/
Classificação
/
Diafragma da Pelve
/
Incontinência Fecal
/
Doença de Hirschsprung
Limite:
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Journal of the Korean Society of Coloproctology
Ano de publicação:
2002
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS