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Acta Médica Costarricense

On-line version ISSN 0001-6002Print version ISSN 0001-6012


CECILIANO-ROMERO, Norma  and  CORDERO-CASTRO, Silvia. Surgical treatment of fecal incontinence. Acta méd. costarric [online]. 2013, vol.55, n.3, pp.118-121. ISSN 0001-6002.

Background: Patients with fecal incontinence suffer from serious social and psychological problems. Therefore, the objective was to analyze the evolution of 27 patients who underwent surgery using the Malone, Neo-Malone or Chait’s Button procedures in order to administer an antegrade enema. Also, the study aimed at assessing the effect of performing the procedure on their quality of life. Methods: Research is descriptive and retrospective. Data was obtained from medical records from the period 2000-2010. In order to define a case, patients must have suffered from fecal incontinence and under gone surgery using the Malone, Neo-Malone (flap from de colon) and Chait’s button procedures during such period. Results: Out of the 27 patients analysed, an anorectal deformity was the cause of incontinence in 21, mielomeningocelein 3, Hirschsprung disease in 1, rabdomiosarcoma in 1 and constipation in 1. The Malone procedure was used in 17 of these patients, the Neo-Malone in 6 and the Chait’s Button in 4. The complications observed were: leakage from the neo-appendix with peritonitis and reoperation in 1 case, stenosis of the stoma in 9 cases, granulomas in 4 cases and prolapse in 1 case. In 24 cases, patients keep clean from feces and both, patients and parents are satisfied. In 10 cases, patients are independent and administer their own enemas. Conclusions: The results allow us to consider that surgery to administer an antegrade enema is a good alternative to improve the patient´s quality of life.

Keywords : Malone; Neo-malone; Chait’s Button; fecal incontinence.

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