Introducción: Las fístulas perianales complejas siguen siendo un auténtico desafío terapéutico en nuestros días, dada la ausencia de una terapia universal y porcentaje complicaciones o recidivas no desdeñable. Entre las opciones terapéuticas encontramos los tapones biológicos, respetando esfínteres pero con resultados dispares. Objetivos: evaluar a largo plazo tras colocación tapón colágeno pir...

Fecal incontinence (FI) in children is a serious medical and social problem. FI leads to severe limitations child’s development adaptation. Pediatric surgeons mainly deal with the mechanical type of that occurs after surgical correction anorectal malformations (ARM) or Hirschsprung's disease (HD). Violation defecation control observed 53-89% patients who underwent surgery for ARM HD. Purpose - ...

Fecal incontinence (FI) in children is a serious medical and social problem. FI leads to severe limitations child’s development adaptation. Pediatric surgeons mainly deal with the mechanical type of that occurs after surgical correction anorectal malformations (ARM) or Hirschsprung's disease (HD). Violation defecation control observed 53-89% patients who underwent surgery for ARM HD. Purpose - ...

症例は80歳の女性．50年前の出産で会陰裂傷の縫合不全が放置され，軟便とガスの失禁および頻回の尿路感染を主訴に当科を受診した．会陰部の肛門と膣の間に皮膚の介在がなく総排泄腔様変形となっており，陳旧性会陰裂傷による括約筋不全の診断で手術を施行した．瘢痕化した直腸肛門と膣壁を分離し，外括約筋断端を同定し周囲を剥離した．左右に分かれた会陰体を正中で縫合し，括約筋修復術を行った．次に膣壁断端を自然に寄ったところで縫合し，肛門と膣の間に十分な距離が保てるように皮弁を形成して閉創した．手術後はWexner scoreおよびFISIスコアの著明な改善を認め，尿路感染を起こすことなく経過している．

Retrograde ethanol infusion into the vein of Marshall (EI-VOM) as an adjunct to pulmonary isolation (PVI) has been reported improve success atrial fibrillation (AF) ablation. However, identification and cannulation VOM remains technically challenging. It proposed that balloon occlusion coronary sinus (CS) allows for improved contrast opacification facilitates well differentiation other branchin...

Abstract Background Survival rates for out-of-hospital cardiac arrest (OOHCA) are extremely low and neurologic recovery is poor. Extracorporeal cardiopulmonary resuscitation (ECPR), which combines extracorporeal membrane oxygenation (ECMO) with (CPR), has emerged as a viable strategy to improve outcomes in OOHCA. A collaborative ECPR program refractory pulseless ventricular tachycardia (VT) and...

Constipation is the most frequent bowel dysfunction with paramount affects on people’s quality of life and mental wellness; it has been estimated that about 30% of people in western countries are afflicted by constipation (1) with heavy aftermath on the health national system. Constipation can be a primary disorder or secondary to neurological, pharmacological, depression, endocrine diseases or...

BACKGROUND Defecography is the gold standard for assessing functional anorectal disorders but is limited by the need for a specific radiologic environment, exposure of patients to radiation, and inability to show all anatomic structures involved in defecation. Echodefecography is a 3-dimensional dynamic ultrasound technique developed to overcome these limitations. OBJECTIVE This study was des...

Background Anal sphincter tone is routinely assessed by digital rectal examination in patients with fecal incontinence, although its accuracy in detecting sphincter defects or separating competent from incompetent muscles has not been established. Objective In this setting, we aimed to evaluate the accuracy of digital rectal examination in grading anal defects in order to separate small from ...

During rectal cancer surgery, we often make a temporary defunctioning stoma like an ileostomy or a colostomy to protect the anastomosis. Generally, as part of the primary surgery, an ileostomy is more common than a colostomy because the construction and reversal of an ileostomy is easier than that of a colostomy and because an ileostomy is associated with fewer stoma-related complications than ...