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The relative effectiveness of surgical options for treating fecal incontinence is not known. [2] A combination of different surgical and non-surgical therapies may be optimal. [2] A surgical treatment algorithm has been proposed for FI, [3] although this did not appear to include some surgical options. Isolated sphincter defects may be ...
An anastomotic leak is a fault in the surgical connection between the two remaining sections of bowel after a resection is performed. This allows the bowel contents to leak into the abdomen. Anastomotic leaks may cause infection, abscess development, and organ failure if untreated. Surgical steps are taken to prevent leaks when possible.
After pelvic exenteration, many patients will have perineal hernia, often without symptoms, but only 3–10% will have perineal hernia requiring surgical repair. [4] Many problems can occur with the stoma. [1] Bowel obstruction may occur, or the anastomosis created by the surgery may leak. [1] The stoma may retract, or may prolapse. [1]
Surgical options in patients with malignant bowel obstruction need to be considered carefully as while it may provide relief of symptoms in the short term, there is a high risk of mortality and re-obstruction. [42] All cases of abdominal surgical intervention are associated with increased risk of future small-bowel obstructions.
Overall it is reported that about 5% to 20% of patients need surgical treatment. [57] [23] Surgery is said to be overused to treat ODS, with more than 50% of patients undergoing the stapled transanal rectal resection (STARR) procedure. [23] There are many different surgical treatments which have been attempted to treat ODS. [34]
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More than 50% of hospitalized seriously ill patients rated bladder or fecal incontinence as "worse than death". [7] Management may be achieved through an individualized mix of dietary, pharmacologic, and surgical measures. Health care professionals are often poorly informed about treatment options, [2] and may fail to recognize the effect of FI ...
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