Title:

Clinical and manometric evaluation of anal sphincter remodelingeffectiveness of using radio frequency (Secca procedure) for thetreatment of fecal incontinence

Author:

Jaśko, Katarzyna

Subject:

remodeling ; stool incontinence ; Seccaprocedure ; radiofrequency

Abstract:

The main doubt reducing enthusiasm for the radiofrequency remodeling technique (secca) was based on lack of physiological studies, which may explain the possible pathomechanism of improvement of symptoms. 20 fecal incontinence (FI) patients (6 male and 14 female, mean age 58 ranged 41-78 years) have been enrolled into the study. The standard technique and secca device was used (Curon Medical, Freemont, CA USA). The following parameters were evaluated at baseline, 3, 6, 12, 24 and 36 months after the procedure: continence (Jorge&Wexner, FISI scores), improvement (FIQL), rectalelectro- and thermosensitivity, barostat, anal manometry. Three mildcomplications were observed: submucosal hematoma, superficial lesion of mucosa and fever between 3rd and 5th postoperative day; they resolved spontaneously. QoL improved significantly in all measures: life style, coping,depression and embarrassment. Jorge&Wexner Incontinence Scale decreased significantly. BAP and SAP improved. The effectiveness of Secca procedure is related to restored anorectal sensitivity and recto-anal coordination, however effect on IAS morphology and function is also detectable. It reduces the frequency and severity of FI symptoms, and improves patient’s quality of life.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

chirurgia

Degree grantor:

Wydział Lekarski

Promoter:

Herman, Roman

Date:

2012

Date issued:

2012

Type:

Praca doktorska

Call number:

ZB-118265

Language:

pol

Access rights:

nieograniczony