Horn H R, Schoetz D J, Coller J A, Veidenheimer M C
Dis Colon Rectum. 1985 Nov;28(11):868-72. doi: 10.1007/BF02555495.
Sixteen selected patients with rectal procidentia, anal incontinence, or both were treated by the insertion of a Dacron impregnated Silastic sling at the Lahey Clinic between 1981 and 1984. The indications for operation were incontinence in 14 patients, procidentia with incontinence in one patient, and procidentia alone in one patient. No operative deaths occurred. Immediate complications included urinary retention in the three patients and hematoma in one patient. Late complications included infection, requiring removal of the Silastic sling in four patients; however, two of these patients underwent subsequent successful reinsertion of the sling after control of local sepsis. Among patients for whom follow-up data were available, satisfaction with the results of this procedure were excellent in two patients, good in six, fair in two, and poor in one. Sphincter repair with a Silastic sling is a safe, reliable alternative in the treatment of selected patients with anal incontinence or rectal procidentia.
1981年至1984年间，在Lahey诊所，16名患有直肠脱垂、肛门失禁或两者皆有的患者接受了植入含涤纶的硅橡胶吊带的治疗。手术指征为14例失禁患者、1例伴有失禁的直肠脱垂患者和1例单纯直肠脱垂患者。无手术死亡病例。近期并发症包括3例患者出现尿潴留和1例患者出现血肿。远期并发症包括感染，4例患者因感染需要取出硅橡胶吊带；然而，其中2例患者在局部感染得到控制后，随后成功再次植入吊带。在有随访数据的患者中，2例对该手术结果满意，6例良好，2例一般，1例差。用硅橡胶吊带进行括约肌修复是治疗部分肛门失禁或直肠脱垂患者的一种安全、可靠的替代方法。
