Abstract BACKGROUND: The artificial bowel sphincter (Acticon ABS - American Medical Systems, Minneapolis, MN, USA) has been proposed as a treatment for patients with faecal incontinence. The good results achieved with this procedure encouraged us to utilize this device for reconstruction of patients who previously underwent an abdominoperineal resection (APR). METHOD: Between 1999 and 2000 we implanted the ABS in five patients undergoing an APR. One patient was male and four female, the mean age was 51.3 years. Three patients had been operated on for rectal cancer, one for rectal agenesia and one for a giant benign tumour of the pelvis. RESULTS: The length of follow up ranged from 6 to 22 months. Manometry assessed a basal pressure with the ABS cuff inflated between 58 and 62.2 mmHg. All but one achieved a good grade of continence with a Wexner score range between 3 and 9. A certain degree of impaired evacuation occurred in two patients but, with adequate training, this improved and did not affect patient satisfaction. CONCLUSION: The ABS is a good option for reconstruction of patients previously treated with an APR. As compared to electrostimulated graciloplasty the ABS technique seems to be easier to perform and more acceptable for the patients, although the cost of the device is still high.

“Total anorectal reconstruction with an artificial bowel sphincter: Report of five cases with a minimum follow-up of 6 months” / G., Romano; LA TORRE, Filippo; G., Cutini; F., Bianco; P., Esposito. - In: COLORECTAL DISEASE. - ISSN 1462-8910. - STAMPA. - 4:(2002), pp. 339-344. [10.1046/j.1463-1318.2002.00402.x]

“Total anorectal reconstruction with an artificial bowel sphincter: Report of five cases with a minimum follow-up of 6 months”

LA TORRE, Filippo;
2002

Abstract

Abstract BACKGROUND: The artificial bowel sphincter (Acticon ABS - American Medical Systems, Minneapolis, MN, USA) has been proposed as a treatment for patients with faecal incontinence. The good results achieved with this procedure encouraged us to utilize this device for reconstruction of patients who previously underwent an abdominoperineal resection (APR). METHOD: Between 1999 and 2000 we implanted the ABS in five patients undergoing an APR. One patient was male and four female, the mean age was 51.3 years. Three patients had been operated on for rectal cancer, one for rectal agenesia and one for a giant benign tumour of the pelvis. RESULTS: The length of follow up ranged from 6 to 22 months. Manometry assessed a basal pressure with the ABS cuff inflated between 58 and 62.2 mmHg. All but one achieved a good grade of continence with a Wexner score range between 3 and 9. A certain degree of impaired evacuation occurred in two patients but, with adequate training, this improved and did not affect patient satisfaction. CONCLUSION: The ABS is a good option for reconstruction of patients previously treated with an APR. As compared to electrostimulated graciloplasty the ABS technique seems to be easier to perform and more acceptable for the patients, although the cost of the device is still high.
2002
01 Pubblicazione su rivista::01a Articolo in rivista
“Total anorectal reconstruction with an artificial bowel sphincter: Report of five cases with a minimum follow-up of 6 months” / G., Romano; LA TORRE, Filippo; G., Cutini; F., Bianco; P., Esposito. - In: COLORECTAL DISEASE. - ISSN 1462-8910. - STAMPA. - 4:(2002), pp. 339-344. [10.1046/j.1463-1318.2002.00402.x]
File allegati a questo prodotto
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/90499
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 10
  • ???jsp.display-item.citation.isi??? 191
social impact