Heiblum M, Cordoba A
Dis Colon Rectum. 1978 Nov-Dec;21(8):562-6. doi: 10.1007/BF02586397.
A new method of providing continence to patients with fecal stomas is presented. The device, used as an artificial sphincter, consists of an inflatable Silastic balloon, which is implanted in the subcutaneous tissue around the stoma; it is easily handled by the patient. The artificial sphincter was used in six patients with colostomies. In all cases, satisfactory continence of the stoma was achieved, obviating the need to use enemas, bags or other appliances. In three patients subcutaneous infections developed around the prosthesis. In two cases, this was readily controlled; in one case, the prosthesis had to be removed. The other five patients are well and continent. None of the patients experienced pain or discomfort during use of the prosthesis. There has been no stomal ischemia.
本文介绍了一种为粪便造口患者提供控便能力的新方法。该装置用作人工括约肌，由一个可充气的硅橡胶球囊组成，植入造口周围的皮下组织；患者操作简便。该人工括约肌应用于6例结肠造口患者。在所有病例中，均实现了造口的满意控便，无需使用灌肠剂、造口袋或其他器具。3例患者假体周围出现皮下感染。2例感染易于控制；1例不得不取出假体。其他5例患者情况良好且控便正常。使用假体期间，所有患者均未出现疼痛或不适。未发生造口缺血。
