دورية أكاديمية
[Management of traumatic anal incontinence at the University Hospital Center in Abidjan, Ivory Coast: findings in a 12-case series].
| العنوان: | [Management of traumatic anal incontinence at the University Hospital Center in Abidjan, Ivory Coast: findings in a 12-case series]. |
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| عنوان ترانسليتريتد: | Prise en charge de l'incontinence anale post traumatique au CHU de Treichville a Abidjan a propos de 12 observations. |
| المؤلفون: | Kouadio GK; Service de chirurgie digestive et proctologique CHU de Treichville, B.P. V 3 Abidjan, Côte d'Ivoire, germkof@yahoo.fr, Sahie D, Turquin HT |
| المصدر: | Medecine tropicale : revue du Corps de sante colonial [Med Trop (Mars)] 2005 Sep; Vol. 65 (4), pp. 363-6. |
| نوع المنشور: | English Abstract; Journal Article |
| اللغة: | French |
| بيانات الدورية: | Publisher: Institut de Medecine Tropicale du Service de Sante des Armees (I M T S S A) Country of Publication: France NLM ID: 8710146 Publication Model: Print Cited Medium: Print ISSN: 0025-682X (Print) Linking ISSN: 0025682X NLM ISO Abbreviation: Med Trop (Mars) Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Marseilles : Institut de Medecine Tropicale du Service de Sante des Armees (I M T S S A) Original Publication: Marseille : Ecole d'application du Service de santé des troupes coloniales, [1941]- |
| مواضيع طبية MeSH: | Anal Canal/*injuries , Anal Canal/*surgery , Fecal Incontinence/*etiology , Fecal Incontinence/*surgery, Adult ; Cote d'Ivoire ; Female ; Hospitals, University ; Humans ; Male ; Middle Aged ; Retrospective Studies |
| مستخلص: | Post-traumatic anal incontinence is a severely disabling condition. The purpose of this retrospective study was to evaluate management of 12 cases observed in a surgical setting in Ivory Coast. There were 8 men and 4 women with a mean age of 30 years. The causes of trauma were road accident in 6 cases, impalement in 2, assault in 2, and iatrogenic trauma in 2. Diagnosis of the sphincter lesion was made by clinical assessment only. The lesion was located on the anterior aspect of the sphincter in 3 cases and on the lateral aspect (left or right) in 9 cases. Direct suture was used for first-intention repair in all cases. In the 3 patients presenting lesions located on the anterior aspect, direct suture was associated with myorrhaphy of the levator ani. Temporary left iliac colostomy was performed in all cases. Repair was successful in 11 patients (92%) and unsuccessful in 1. The patient in whom treatment failed underwent graciloplasty with fair results. In this study direct repair achieved good results despite our poor technical facilities. Although these results are encouraging, better management of these injuries would require diagnostic equipment such as endorectal ultrasonography and anal electromyography. |
| تواريخ الأحداث: | Date Created: 20060322 Date Completed: 20060725 Latest Revision: 20061115 |
| رمز التحديث: | 20221213 |
| PMID: | 16548491 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0025-682X |
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