Abstract
Fecal incontinence, as a result of trauma to the muscular sphincter complex, has long been surgically treated by approximation of healthy muscular edges on either side of the defect. In his 1923 textbook, Lockhart-Mummery described the operative procedure of mobilizing muscle lateral to the defect and sewing the “ends firmly in contact” [1]. Operative success was “usually most satisfactory,” yet contingent on “proper antiseptic precautions” and “carefully performed” technique. In 1940, however, Blaisdell reported general dissatisfaction among American proctologists with this classic “plastic repair” due to infectious complications, technical challenges, and poor outcomes [2]. Blaisdell went on to describe two techniques that involved overlapping muscle edges while leaving the scarred portion of the sphincter intact. The “reefing operation” brought together muscle opposite the site of damage to narrow the circumference of the anal outlet and thus avoid manipulation of the damaged portion of the sphincter [2].
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References
Lockhart-Mummery JP (1923) Diseases of the rectum & colon and their surgical treatment. Macmillan, Toronto
Blaisdell PC (1942) Repair of the incontinent sphincter ani. Surg Gynec Obst 70:692–697
Blaisdell PC (1950) Plastic repair of the incontinent sphincter ani. Am J Surg 79:174–183
Parks AG, McPartlin JF (1971) Late repair of injuries of the anal sphincter. Proc R Soc Med 64:1187–1189
Slade MS, Goldberg SM, Schottler JL et al (1977) Sphincteroplasty for acquired anal incontinence. Dis Colon Rectum 20:33–35
Fernando R, Sultan AH, Kettle C et al (2006) Methods of repair for obstetric anal sphincter injury. Cochrane Database Syst Rev 3:CD002866
Sultan AH, Kamm MA, Hudson CN et al (1994) Third degree obstetric anal sphincter tears: risk factors and outcome of primary repair. BMJ 308:887–891
Cook TA, Mortensen NJ (1998) Management of faecal incontinence following obstetric injury. Br J Surg 85:293–299
Gilliland R, Altomare DF, Moreira H Jr et al (1998) Pudendal neuropathy is predictive of failure following anterior overlapping sphincteroplasty. Dis Colon Rectum 41:1516–1522
Oliveira L, Pfeifer J, Wexner SD (1996) Physiological and clinical outcome of anterior sphincteroplasty. Br J Surg 83:502–505
Simmang C, Birnbaum EH, Kodner IJ et al (1994) Anal sphincter reconstruction in the elderly: does advancing age affect outcome? Dis Colon Rectum 37:1065–1069
Sangwan YP, Coller JA, Barrett RC et al (1996) Unilateral pudendal neuropathy. Impact on outcome of anal sphincter repair. Dis Colon Rectum 39:686–689
Chen AS, Luchtefeld MA, Senagore AJ et al (1998) Pudendal nerve latency. Does it predict outcome of anal sphincter repair? Dis Colon Rectum 41:1005–1009
Nikiteas N, Korsgen S, Kumar D et al (1996) Audit of sphincter repair. Factors associated with poor outcome. Dis Colon Rectum 39:1164–1170
Young CJ, Mathur MN, Eyers AA et al (1998) Successful overlapping anal sphincter repair: relationship to patient age, neuropathy, and colostomy formation. Dis Colon Rectum 41:344–349
Richard C, Bernard D, Morgan S et al (1994) [Results of anal sphincteroplasty for post-traumatic incontinence: with or without colostomy]. Ann Chir 48:703–707
Fazio VW, Church JM, Delaney CP (eds) (2005) Current therapy in colon and rectal surgery, 2nd edn. Elsevier Mosby, Philadelphia, pp 108–109
Nicholls RJ, Dozois RR (eds) (1997) Surgery of the colon & rectum. Churchill Livingstone, New York, p 75
Nessim A, Wexner SD, Agachan F et al (1999) Is bowel confinement necessary after anorectal reconstructive surgery? A prospective, randomized, surgeon-blinded trial. Dis Colon Rectum 42:16–23
Malouf AJ, Norton CS, Engel AF et al (2000) Longterm results of overlapping anterior anal-sphincter repair for obstetric trauma. Lancet 355:260–265
Halverson AL, Hull TL (2002) Long-term outcome of overlapping anal sphincter repair. Dis Colon Rectum 45:345–348
Bravo Gutierrez A, Madoff RD, Lowry AC et al (2004) Long-term results of anterior sphincteroplasty. Dis Colon Rectum 47:727–731; discussion 731–732
Browning GG, Motson RW (1983) Results of Parks operation for faecal incontinence after anal sphincter injury. Br Med J (Clin Res Ed) 286:1873–1875
Fang DT, Nivatvongs S, Vermeiden FD et al (1984) Overlapping sphincteroplasty for acquired anal incontinence. Dis Colon Rectum 27:720–722
Christiansen J, Pedersen IK (1987) Traumatic anal incontinence. Results of surgical repair. Dis Colon Rectum 30:189–191
Pezim ME, Spencer RJ, Stanhope CR et al (1987) Sphincter repair for fecal incontinence after obstetrical or iatrogenic injury. Dis Colon Rectum 30:51–525
Stern H, Gallinger S, Rabau M et al (1987) Surgical treatment of anal incontinence. Can J Surg 30:348–350
Ctercteko GC, Fazio VW, Jagelman DG et al (1988) Anal sphincter repair: a report of 60 cases and review of the literature. Aust N Z J Surg 58:703–710
Abcarian H, Orsay CP, Pearl RK et al (1989) Traumatic cloaca. Dis Colon Rectum 32:783–787
Yoshioka K, Keighley MR (1989) Sphincter repair for fecal incontinence. Dis Colon Rectum 32:39–42
Fleshman JW, Peters WR, Shemesh EI et al (1991) Anal sphincter reconstruction: anterior overlapping muscle repair. Dis Colon Rectum 34:739–743
Gibbs DH, Hooks VH, 3rd (1993) Overlapping sphincteroplasty for acquired anal incontinence. South Med J 86:1376–1380
Engel AF, Kamm MA, Sultan AH et al (1994) Anterior anal sphincter repair in patients with obstetric trauma. Br J Surg 81:1231–1234
Londono-Schimmer EE, Garcia-Duperly R, Nicholls RJ et al (1994) Overlapping anal sphincter repair for faecal incontinence due to sphincter trauma: five year follow-up functional results. Int J Colorectal Dis 9:110–113
Sangalli MR, Marti MC (1994) Results of sphincter repair in postobstetric fecal incontinence. J Am Coll Surg 179:583–586
Felt-Bersma RJ, Cuesta MA, Koorevaar M (1996) Anal sphincter repair improves anorectal function and endosonographic image. A prospective clinical study. Dis Colon Rectum 39:878–885
Sitzler PJ, Thomson JP (1996) Overlap repair of damaged anal sphincter. A single surgeon’s series. Dis Colon Rectum 39:1356–1360
Karoui S, Leroi AM, Koning E et al (2000) Results of sphincteroplasty in 86 patients with anal incontinence. Dis Colon Rectum 43:813–820
Osterberg A, Edebol Eeg-Olofsson K, Graf W (2000) Results of surgical treatment for faecal incontinence. Br J Surg 87:1546–1552
Morren GL, Hallbook O, Nystrom PO et al (2001) Audit of anal-sphincter repair. Colorectal Dis 3:17–22
Pinta T, Kylanpaa-Back ML, Salmi T et al (2003) Delayed sphincter repair for obstetric ruptures: analysis of failure. Colorectal Dis 5:73–78
Barisic GI, Krivokapic ZV, Markovic VA et al (2006) Outcome of overlapping anal sphincter repair after 3 months and after a mean of 80 months. Int J Colorectal Dis 21:52–56
References
Londono-Schimmer EE, Garcia-Duperly R, Nicholls RJ et al (1994) Overlapping anal sphincter repair for faecal incontinence due to sphincter trauma: five year follow-up functional results. Int J Colorectal Dis 9:110–113
Barisic GI, Krivokapic ZV, Markovic VA, Popovic MA (2006) Outcome of overlapping anal sphincter repair after 3 months and after a mean of 80 months. Int J Colorectal Dis 21:52–56
Gilliland R, Altomare DF, Moreira H Jr et al (1998) Pudendal neuropathy is predictive of failure following anterior overlapping sphincteroplasty. Dis Colon Rectum 41:1516–1522
Sangwan YP, CollerJA, Barrett RC et al (1996) Unilateral pudendal neuropathy. Impact on outcome of anal sphincter repair. Dis Colon Rectum 39:686–689
Chen AS, Luchtefeld MA, Senagore AJ et al (1998) Pudendal nerve latency. Does it predict outcome of anal sphincter repair? Dis Colon Rectum 41:1005–1009
Buie WD, Lowry AC, Rothenberger DA, Madoff RD (2001) Clinical rather than laboratory assessment predicts continence after anterior sphincteroplasty. Dis Colon Rectum 44:1255–1260
Conaghan P, Farouk R (2005) Sacral nerve stimulation can be successful in patients with ultrasound evidence of external anal sphincter disruption. Dis Colon Rectum 48:1610–1614
Giordano P, Renzi A, Efron J et al (2002) Previous sphincter repair does not affect the outcome of repeat repair. Dis Colon Rectum 45:635–640
Vaizey CJ, Norton C, Thornton MJ et al (2004) Long-term results of repeat anterior anal sphincter repair. Dis Colon Rectum 47:858–863
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Ogilvie, J.W., Madoff, R.D., Altomare, D.F. (2007). Sphincteroplasty. In: Ratto, C., Doglietto, G.B., Lowry, A.C., Påhlman, L., Romano, G. (eds) Fecal Incontinence. Springer, Milano. https://doi.org/10.1007/978-88-470-0638-6_16
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DOI: https://doi.org/10.1007/978-88-470-0638-6_16
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