Zusammenfassung
Stuhlinkontinenz ist ein häufig in unserer Gesellschaft tabuisiertes Symptom. Neben dem erfolgreichsten Rekonstruktionsverfahren, dem anterioren Sphinkterrepair bei Muskeldefekt, waren alle anderen Verfahren zur Wiederherstellung der Kontinenz nur von bescheidenem Erfolg begleitet. Die einzige Alternative war das permanente Kolostoma.
Aufgrund neuerer Entwicklungen stehen uns zwei weitere Möglichkeiten zur Wiederherstellung der Kontinenz zur Verfügung. Die dynamische Grazilisplastik und der künstliche Darmschließmuskel („artificial bowel sphincter”, ABS) werden als zwei neue Wege zur Beseitigung der Stuhlinkontinenz anhand eigener Erfahrungen beschrieben.
Abstract
Fecal incontinence is a severe symptom in our society. Compared to the most common and succesful reconstruction technique for anterior muscle defects, sphincter repair and levatorplasty, all other procedures for restoring continence only achieve modest success; the only alternative has always been a permanent colostomy.
New developments over the last years offer now 2 possibilities for restoring continence: dynamic graciloplasty and artificial bowel sphincter.
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Rupper, R., Staimmer, D. Neue Möglichkeiten der Inkontinenzbehandlung durch dynamische Grazilisplastik und „artificial bowel sphincter”. Coloproctology 21, 269–275 (1999). https://doi.org/10.1007/BF03044239
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DOI: https://doi.org/10.1007/BF03044239