Long-term results from modified sphincteroplasty in patients with traumatic sphincter injury: a retrospective study
| العنوان: | Long-term results from modified sphincteroplasty in patients with traumatic sphincter injury: a retrospective study |
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| المؤلفون: | Mustafa Berkesoglu, Tahsin Colak, Mehmet Ozgur Turkmenoglu, Ismet Han, Ilter Kirmizi, Gokhan Giray Akgul, Ihsan Gunduz |
| المصدر: | Sao Paulo Medical Journal, Issue: ahead, Published: 08 JAN 2021 Sao Paulo Medical Journal, Volume: 139, Issue: 1, Pages: 58-64, Published: 08 JAN 2021 Sao Paulo Medical Journal v.139 n.1 2021 São Paulo medical journal Associação Paulista de Medicina instacron:APM São Paulo Medical Journal, Vol 139, Iss 1, Pp 58-64 (2021) |
| بيانات النشر: | FapUNIFESP (SciELO), 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Adult, Male, Anal incontinence, medicine.medical_specialty, Sphincteroplasty, Rectum, Perineum, 03 medical and health sciences, 0302 clinical medicine, Anal sphincter, Fecal incontinence, Scrotum, Humans, Medicine, 030212 general & internal medicine, Retrospective Studies, medicine.diagnostic_test, business.industry, Magnetic resonance imaging, Retrospective cohort study, General Medicine, Middle Aged, Anal canal, Surgery, Treatment Outcome, Surgery [subheading], medicine.anatomical_structure, Vagina, Sphincter, Female, medicine.symptom, business, 030217 neurology & neurosurgery |
| الوصف: | BACKGROUND: The results from sphincteroplasty may worsen over time. Reseparation of the rectum and vagina/scrotum in conjunction with sphincteroplasty achieves good results. Improving the surgical effect of sphincteroplasty through perineal body reconstruction is crucial. OBJECTIVE: To evaluate the long-term results from anterior sphincteroplasty and perineal body reconstruction (modified sphincteroplasty) among patients with traumatic sphincter injury. DESIGN AND SETTING: Retrospective study among patients who underwent modified sphincteroplasty in a university hospital between January 2006 and December 2018. Fifty patients were evaluated in detail. METHODS: The following variables were evaluated: gender, age, additional disease status, time interval between trauma and surgery, surgical technique, duration of hospitalization, follow-up period after surgery, manometric values, electromyography results, magnetic resonance imaging scans, Wexner scores, satisfaction levels with surgery and surgical outcomes. RESULTS: The patients’ mean age was 44.6 ± 15.1 years. The median follow-up period was 62 months (range, 12-118). The mean Wexner scores preoperatively, postoperatively in first month (M1S) and at the time of this report (AAS) were 15.5 ± 3.2, 1.9 ± 3.15 and 3.9 ± 5.3, respectively. Although improvements in the patients’ mean Wexner scores became impaired over time, the postoperative Wexner scores were still significantly better than the preoperative Wexner scores (P = 0.001). CONCLUSION: Good or excellent results were obtained surgically among patients with traumatic sphincter injury. Performing perineal body reconstruction in addition to sphincteroplasty can provide better long-term continence. Surgical outcomes were found to be better, especially among patients younger than 50 years of age and among patients who underwent surgery within the first five years after trauma. |
| وصف الملف: | text/html |
| تدمد: | 1806-9460 1516-3180 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::009e5fa447c6abed0e34282fc6f65d58 https://doi.org/10.1590/1516-3180.2020.0467.02112020 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....009e5fa447c6abed0e34282fc6f65d58 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18069460 15163180 |
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