Abdominal salvage surgery was associated with a failure rate of 21.4 per cent. A successful outcome was less likely when the procedure was carried out for septic compared with non-septic indications. The rate of pouch failure increased with length of follow-up.

2814.

No abstract

Introduction Ingestion of foreign bodies including dentures, fishbone, screw, and/or surgical devices can be a cause of morbidity, and it rarely could be fatal. Presentation of Case We present the first hitherto reported case of mussel shell ingestion, which caused acute abdominal pain in a 55-year-old woman. The shell pierced ileal loops, and it was found in the abdominal cavity. Discussion The accidental or voluntary ingestion of a foreign body is an uncommon event compared to the other causes of bowel perforation. It is fundamental to immediately remove the intestinal fluid, repair the tear, and prevent sepsis, because each delay in diagnosis can lead to a worst outcome. Conclusion In case of bowel perforation, it important for surgeons, who are dealing with these acute care patients, to be aware of different designs and constructions of possible foreign bodies, in order to be prepared to deal with different possible scenarios and be able to manage them properly.

Lost of faecal control is a very commune condition. Multifactorial causes can determinate faecal incontinence (sphincterial atrophy/atony, neuropathies, sclerosis, spinal damage, iatrogenic, etc). The quality of live, as well as social and working impacts of faecal incontinence are very important. Many surgical options can be avoid for faecal incontinence treatment. The bulking injectable agents represent the most mini invasive treatment that can lead to healing in same case of faecal incontinence. The technique is performed in local anaesthesia in “day surgery”. It consists in silicon polymer injections directly on weak sphincter points. Preoperative investigations and preparation is easy as well. In our experience we performed on enrolled patients to ano-rectal manometry and transanal ultrasound study with 360° rotating with BK probe. Surprisingly, the results in our experience were higher of expectations. The day after the PTQ (polidimetilstilossano/povidone) implants, near all of the patients claim to be extremely satisfied and able to keep and leak free. The long term follow up demonstrated stable results and patients satisfaction. The PTQ implants procedure can be considered a low cost valid minimally invasive option for faecal incontinence treatment able to lead to healing, reducing social costs, improving patients quality of life.