304. Methicillin-resistant Staphylococcus aureus in Ohio EMS providers: A statewide cross-sectional study Robert Orellana, MPH; Armando Hoet, DVM, PhD; Bo Lu, PhD; Sarah Anderson, PhD; Kurt Stevenson, MD, MPH; Division of Epidemiology, Ohio State University, Columbus, OH; Department of Veterinary Preventive Medicine, Ohio State University, Columbus, OH; Division of Biostatistics, Ohio State Uni...

PURPOSE After total mesorectal excision (TME) with primary anastomosis for patients with rectal cancer, the quality of life (QoL) may be decreased due to fecal incontinence. This study aimed to identify predictors of fecal incontinence and related QoL. METHODS Patients who underwent TME with primary anastomosis for rectal cancer between December 2008 and June 2012 completed the fecal incontin...

BACKGROUND Previous publications have suggested that endoscopic transanal proctectomy (ETAP) is a promising technique and may be an alternative to conventional low anterior resection for rectal cancer. The aim of this study was to evaluate the technical feasibility of ETAP, with a particular focus on postoperative and oncological results and on functional outcomes. METHODS This study was a mu...

The development of instruments for the measurement of faecal incontinence symptoms and quality of life impact is at an early stage in psychometric terms (Thomas et al., 2006). The absence of large scale studies and clinical data makes the selection of reliable and valid measures difficult. Issues surrounding the actual content of questionnaires and scoring systems are also hotly debated. Some o...

PURPOSE Passive fecal incontinence after hemorrhoidectomy may occur and is socially incapacitating. There has been no effective treatment for passive fecal incontinence caused by internal anal sphincter dysfunction. This case series reviewed the outcome of therapy with injectable silicone biomaterial (PTQ) in patients who had passive fecal incontinence after hemorrhoidectomy. METHODS From 200...

BACKGROUND/AIMS To explore and compare quality of life (QoL) differences in female and male patients with fecal incontinence. METHODS Ninety-one patients with fecal incontinence (60 women, mean (SD) age 64.13 (9.72) years; 31 men, mean (SD) age 63.61 (13.33) years) were assessed for pathophysiology (anorectal manometry and ultrasound), clinical severity (Wexner and Vaizey scales), QoL (Fecal ...

PURPOSE Sacral nerve stimulation is a safe and effective procedure for fecal incontinence. We investigated whether its efficacy is maintained long term. PATIENTS AND METHODS Sixty patients with fecal incontinence underwent permanent sacral nerve stimulation. Patients' data were prospectively recorded in the national registry of the Italian Group of sacral nerve stimulation. The severity of fe...

Adequate oncological outcomes have been demonstrated with rectal resection and handsewn coloanal anastomosis (CAA) in tumours in close proximity to the internal anal sphincter. Our aim was to assess functional differences between handsewn CAA and ultralow stapled anastomosis. Participants were identified from a single-surgeon series. Included participants underwent anorectal physiology testing ...

HYPOTHESIS Permanent sacral nerve stimulation (SNS) is a promising emerging treatment for fecal incontinence. However, there is little data on morbidity and quality of life (QOL) during long-term stimulation. DESIGN Prospective trial to assess morbidity and QOL in patients treated with SNS. Median follow-up was 13 months (range, 1-42 months). SETTING University hospital providing primary, s...