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Ist die Sphinkterplastik zur Behandlung der Fäkalen Inkontinenz bei Patienten älter als 60 Jahre gerechtfertigt?

  • J. Pfeifer
  • H. Rabl
  • S. Uranüs
  • S. D. Wexner
Conference paper
Part of the Langenbecks Archiv für Chirurgie book series (DTGESCHIR, volume 1996)

Is Sphincteroplasty for Fecal Incontinence Justified in Patients over 60 Years of Age

Summary

Overlapping sphincteroplasty is the method of choice for isolated anterior sphincter defects. Patients over 60 years of age can undergo this operation with similar good results as in younger patients. However, preoperative physiologic assessment of the pelvic floor is necessary for a good postoperative outcome.

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Literatur

  1. 1.
    Wexner SD, Marchetti F, Jagelman D (1991) The role of sphincteroplasty for fecal incontinence re-valuated: a prospective physiologic and functional review. Dis Colon Rectum 34:22–30PubMedCrossRefGoogle Scholar
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    Jorge MN, Wexner SD (1993) A practical guide to basic anorectal physiology investigations. Con-temp Surg (1993) 43:214–224Google Scholar
  3. 4.
    Pfeifer J, Oliveira L, Wexner SD (1996) Die Sphinkterplastik zur Behandlung der fäkalen Inkontinenz — Technik und Ergebnisse. Akt Chir 31:1–5Google Scholar
  4. 4.
    Simmang C, Birnbaum EH, Kodner IJ, Fry RD, Fleshman JW (1994) Anal sphincter reconstruction in the elderly: does advancing age affect outcome? Dis Colon Rectum 37:1065–1069PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • J. Pfeifer
    • 1
  • H. Rabl
    • 1
  • S. Uranüs
    • 1
  • S. D. Wexner
    • 2
  1. 1.Klinische Abteilung für AllgemeinchirurgieUniversitätsklinik für ChirurgieGrazÖsterreich
  2. 2.Department of Colorectal SurgeryCleveland Clinic FloridaFt. LauderdaleUSA

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