Yıldırım Mehmet Aykut, Çakır Murat
Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Konya, Türkiye.
Turk J Surg. 2019 Mar 1;35(1):44-48. doi: 10.5578/turkjsurg.4188. eCollection 2019 Mar.
The diagnosis of fecal incontinence is challenging and complex. One of the most significant causes of fecal incontinence is trauma in the perianal area. The most important cause of such trauma is birth trauma. It is hard to evaluate patients and plan treatment. Surgical method is determined by the severity of sphincter damage and injuries formed in the organs in the perianal area. The aim of this study, therefore, was to analyze the cases of patients who had undergone sphincter repair because of acute injuries in the perianal area.
The cases of 15 patients with perianal area injuries who had presented to Necmettin Erbakan University Meram Medical School's General Surgery Clinic between 2010 and 2015 were retrospectively analyzed. Data on age, sex, form of injury, severity of injury, time of first response, form of repair, injury problems, and post-operative complications of the patients were investigated. The patients' long-term results were analyzed.
While 5 of the patients were male, 10 were female. 9 of the female patients had birth trauma, while one had injury during sexual intercourse. While all of the patients received sphincteroplasty, 10 had levatoroplasty. All the female patients received vaginoplasty.
We are of the opinion that it is significant to have surgical intervention before tissue edema develops.
大便失禁的诊断具有挑战性且复杂。肛周区域创伤是大便失禁最主要的原因之一。此类创伤最重要的原因是分娩创伤。对患者进行评估和制定治疗方案很困难。手术方法取决于括约肌损伤的严重程度以及肛周区域器官形成的损伤情况。因此，本研究的目的是分析因肛周区域急性损伤而接受括约肌修复的患者病例。
回顾性分析了2010年至2015年间在内克梅丁·埃尔巴坎大学梅拉姆医学院普通外科诊所就诊的15例肛周区域损伤患者的病例。调查了患者的年龄、性别、损伤形式、损伤严重程度、首次反应时间、修复形式、损伤问题以及术后并发症。分析了患者的长期结果。
患者中5例为男性，10例为女性。9例女性患者有分娩创伤，1例在性交时受伤。所有患者均接受了括约肌成形术，10例接受了提肛肌成形术。所有女性患者均接受了阴道成形术。
我们认为在组织水肿出现之前进行手术干预很重要。
