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Refining and improving the assessment and treatment of faecal incontinence

AbstractFaecal incontinence (FI) is a common symptom. There are a variety of invasive treatments available, however, the benign nature of this problem and the varying degrees of severity, mean that conservative management is usually pursued first. The aims of this thesis were to investigate: the current practice of continence advisors who deliver conservative management in …

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Negative pressureā€‘assisted endoscopic pilonidal sinus treatment

Abstract Background Endoscopic pilonidal sinus treatment (EPSiT) is a novel minimally invasive option for the treatment of pilonidal sinus disease (PSD). To optimise the postoperative wound management after EPSiT, an ultraportable negative pressure wound therapy (NPWT) device was used. The aim of this study was to assess the clinical outcomes of negative pressure-assisted (NPA) EPSiT. …

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Longā€term outcome of sacral nerve stimulation for faecal incontinence

Abstract Aim Sacral nerve stimulation (SNS) is a minimally invasive treatment for faecal incontinence (FI). We report our experience of patients who have undergone SNS for FI with a minimum of 5 yearsā€™ followā€up. This is a single centre prospective observational study with the aim to assess the longā€term function of SNS. Method All patients …

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Initial experience with SphinKeeperā„¢ intersphincteric implants for faecal incontinence in the United Kingdom: a two-centre retrospective clinical audit

Abstract Aim The SphinKeeperā„¢ artificial bowel sphincter implant is relatively new surgical technique for the treatment of refractory faecal incontinence. This study presents the first experience in two UK tertiary centres. Method This is a retrospective audit of prospectively collected clinical data in relation to technique, safety, feasibility and short-term effectiveness from patients undergoing surgery …

Initial experience with SphinKeeperā„¢ intersphincteric implants for faecal incontinence in the United Kingdom: a two-centre retrospective clinical audit Read More »

General surgery and COVIDā€‘19: review of practical recommendations in the first pandemic phase

Abstract Background In March 2020, the World Health Organization confirmed COVID-19 infection as a pandemic. The absence of previous knowledge of the COVID-19 has made the decision-making difficult including in the surgical departments. The purpose of this report was to review the management recommendations regarding surgical activity and changes to surgical practice, identifying concordances and …

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Randomized Pilot Study: Anal Inserts Versus Percutaneous Tibial Nerve Stimulation in Patients With Fecal Incontinence

Abstract Background Anal inserts and percutaneous tibial nerve stimulation may be offered to those with fecal incontinence in whom other conservative treatments have failed. Objective We aimed to compare anal inserts and percutaneous tibial nerve stimulation. Design This was an investigator-blinded randomized pilot study. Settings The study was conducted at a large tertiary care hospital. …

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Evaluation of 153 Asymptomatic Subjects Using the Anopress Portable Anal Manometry Device

Abstract Background/Aims The Anopress device is a new portable manometry system. The aim of this study is to formulate normative data using this new device by recording the anorectal function of asymptomatic subjects. Patient comfort was also assessed. Methods Anorectal function was assessed in asymptomatic volunteers using the Anopress. All volunteers were examined in a …

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Technical Tips and Tricks of Outpatients Treatments for Hemorrhoids

Abstract Hemorrhoids are a common condition affecting the anorectum. The clinician must accurately diagnose the condition and exclude more sinister causes responsible for the same symptoms. A focused history and thorough examination help in establishing a differential diagnosis. The treatment modality is guided by the degree of the hemorrhoids. Conservative measures should be employed, including …

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A meta-analysis comparing open anterior component separation with posterior component separation and transversus abdominis release in the repair of midline ventral hernias

Abstract Purpose This study aims to compare the outcomes of posterior component separation and transversus abdominis release (PCSTAR) with the open anterior component separation (OACS) technique. OACS, first described by Ramirez et al. (Plast Reconstr Surg 86(3):519-526, 1990), has become an established technique for local myofascial advancement in abdominal hernia surgery. PCSTAR, described by Novitsky …

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