Biofeedback training to obtain continence in permanent colostomy

Abstract

Biofeedback training is proposed as rehabilitative training for patients with permanent colostomies to help them achieve fecal continence. The results of a preliminary study of 18 patients are reported.

Dynamic rectus abdominis muscle flap for intestinal stomal continence: A systematic approach

“…This technique involves training patients to sense bowel distension and respond by contracting their abdominal muscles to close the stoma. 8 Success rates using these techniques are variable, and none of them is able to provide complete stomal continence. [6][7][8] Surgical modifications of intestinal stoma techniques designed to create continence are numerous.…”

“…8 Success rates using these techniques are variable, and none of them is able to provide complete stomal continence. [6][7][8] Surgical modifications of intestinal stoma techniques designed to create continence are numerous. Kock et al 9 developed an intestinal nipple valve using an intussuscepted segment of bowel interposed between an intra-abdominal intestinal reservoir and the stoma.…”

Electrically Stimulated Rectus Abdominis Muscle Flap to Achieve Enterostomal Continence: Development of a Functional Canine Model

“…[1][2][3][4][5] Although numerous surgical procedures 6,7 and nonsurgical devices 8 -11 have been invented in an effort to attain durable stomal continence, to date there are no reliable methods available to control the episodic flow of stomal feces. [12][13][14] An area of investigation that holds great promise for providing individuals with stomal continence is the dynamic myoplasty, 15 which takes advantage of electrically stimulated muscle to perform taskspecific functions.…”

The Use of Colonic Irrigation to Control Fecal Incontinence in Dogs With Colostomies

“…Colostomies render the patient incontinent because of the loss of a competent sphincter mechanism. Human surgeons have sought techniques to control the free flow of feces through the stoma by using “continent” colostomy devices, such as a disposable stomal plug or magnet activated stomal closures 6–11 . The majority of these devices have been tested in dogs 6–11 …”

“…Human surgeons have sought techniques to control the free flow of feces through the stoma by using "continent" colostomy devices, such as a disposable stomal plug or magnet activated stomal closures. [6][7][8][9][10][11] The majority of these devices have been tested in dogs. [6][7][8][9][10][11] The most successful method of achieving fecal continence in humans has been through colonic irrigation.…”