Implantation of Artificial Sphincter for Anal Incontinence

Christiansen, John; Lorentzen, M

doi:10.1016/s0140-6736(87)90829-4

Cited by 172 publications

(52 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The control pump, which is a standard size of 1.2 cm wide and 3.6 cm long, is implanted in the soft tissue of the scrotum or labium. Blunt dissection is done with the help of Hegar dilators (size [4][5][6][7][8][9][10][11][12][13][14][15][16]. The deactivation button should face anteriorly and be palpable.…”

Section: Artificial Bowel Sphinctermentioning

confidence: 99%

Neosphincter Surgery for Fecal Incontinence: A Critical and Unbiased Review of the Relevant Literature

2006

View full text Add to dashboard Cite

Up until about 15 years ago the only realistic option for end-stage fecal incontinence was the creation of a permanent stoma. There have since been several developments. Dynamic graciloplasty (DGP) and artificial bowel sphincter (ABS) are well-established surgical techniques, which offer the patient a chance for continence restoration and improved quality of life; however, they are unfortunately associated with high morbidity and low success rates. Several trials have been done in an attempt to clarify the advantages and disadvantages of these methods and define their place in the second-line treatment of severe, refractory fecal incontinence. This review presents a critical and unbiased overview of the current status of neosphincter surgery according to the available data in the world literature.

show abstract

Section: Artificial Bowel Sphinctermentioning

confidence: 99%

Neosphincter Surgery for Fecal Incontinence: A Critical and Unbiased Review of the Relevant Literature

2006

View full text Add to dashboard Cite

show abstract

“…The implanted device remains inactivated to allow wound healing for up to 2 months [29]. The procedure was first reported in 1987 by Christiansen and Lorentzen [30]. It is technically easier, less surgeon-dependent, and more cosmetic than DGP.…”

Section: Neosphincter-formation Techniquesmentioning

confidence: 99%

Fecal incontinence: an up-to-date critical overview of surgical treatment options

Muller

Belyaev

Deska

et al. 2005

Langenbecks Arch Surg

View full text Add to dashboard Cite

show abstract

“…Christiansen und Lorentzen berichteten als erste über die Implantation eines künstlichen Schießmuskels bei der analen Inkontinenz [12]. Prothese muss explantiert werden [48,72].…”

Section: Künstlicher Analsphinkterunclassified

Stuhlinkontinenz: Therapieoptionen

Braun

2004

Chirurg

View full text Add to dashboard Cite

Diagnosis and management of fecal incontinence requires exact understanding of the anatomic and pathophysiologic principles involved and demands a methodical, stepwise approach. Despite the potential appeal of surgical intervention, a considerable number of patients can be helped by comparatively simple, noninvasive measures. Initial treatment should be medical, including biofeedback in combination with a bowel management program. In the presence of a severely denervated pelvic floor, physiotherapeutic techniques rarely give rise to a satisfactory and long-lasting response. Obvious external sphincter defects and patients who failed medical management are treated surgically. Many injuries of the external sphincter can be treated by direct sphincter repair. If patients with intact external sphincters are unresponsive to medical measures, descending perineum and resultant idiopathic fecal incontinence will improve by radio-frequency delivery, sacral nerve stimulation, or postanal plication. Patients with complex neurologic disorders or extensive sphincter defects or who have undergone previous unsuccessful attempts at repair of the puborectalis itself should be considered for dynamic gracilis plastic or an artificial sphincter.

show abstract

Implantation of Artificial Sphincter for Anal Incontinence

Cited by 172 publications

References 8 publications

Neosphincter Surgery for Fecal Incontinence: A Critical and Unbiased Review of the Relevant Literature

Neosphincter Surgery for Fecal Incontinence: A Critical and Unbiased Review of the Relevant Literature

Fecal incontinence: an up-to-date critical overview of surgical treatment options

Stuhlinkontinenz: Therapieoptionen

Contact Info

Product

Resources

About