Fecal incontinence after total mesorectal excision for rectal cancer —impact of potential risk factors and pelvic intraoperative neuromonitoring

Fecal incontinence frequently occurs after total mesorectal excision for rectal cancer. This prospective study analyzed predictive factors and the impact of pelvic intraoperative neuromonitoring at different f...
Source: World Journal of Surgical Oncology - Category: Cancer & Oncology Authors: Tags: Research Source Type: research

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Authors: Kim CW, Jeong WK, Son GM, Kim IY, Park JW, Jeong SY, Park KJ, Lee SH Abstract Purpose: Patients who undergo radical surgery for rectal cancer often suffer from low anterior resection syndrome (LARS). Symptoms of this syndrome include frequent bowel movements, gas incontinence, fecal incontinence, fragmentation, and urgency. The aim of this study was to investigate the convergent validity, discriminative validity, and reliability of the Korean version of the LARS score questionnaire. Methods: The English LARS score questionnaire was translated into Korean using the forward-and-back translation method. A...
Source: Annals of Coloproctology - Category: Gastroenterology Tags: Ann Coloproctol Source Type: research
After low anterior resection (LAR), up to 90% of patients develop anorectal dysfunction. Especially fecal incontinence has a major impact on the physical, psychological, social, and emotional functioning of th...
Source: Trials - Category: General Medicine Authors: Tags: Study protocol Source Type: research
ConclusionW&W for older patients with a clinical (near) complete response appears to be a safe alternative to a total mesorectal excision (TME), with a very high pelvic control rate, and few rectal cancer related deaths. Most patients can avoid major surgery and a definitive colostomy, and have a reasonable anorectal and urinary function.
Source: European Journal of Surgical Oncology (EJSO) - Category: Surgery Source Type: research
ConclusionsThe oncologic and functional outcomes, as well as postoperative complications, after low ligation of the IMA with lymph node dissection are not significantly different from those after high ligation of the IMA.
Source: Surgery Today - Category: Surgery Source Type: research
ConclusionsPreoperative low iMSP increases the risk of major-FI and impaired QOL after VLAR. This highlights the importance of performing preoperative anorectal manometry to evaluate the patient ’s anal function as well as to select the most appropriate operative procedure and early multifaceted treatment such as medication, rehabilitation, and biofeedback for postoperative FI.
Source: Surgery Today - Category: Surgery Source Type: research
ConclusionIn accordance with the literature, we confirmed that RC is significantly associated with fecal and urinary incontinence. However, it appears that the awareness of this fact needs to be improved among general practitioners since our data show lower percentages of fecal and urinary incontinence diagnoses compared with the percentages for specialized centers reported in the literature.
Source: International Journal of Colorectal Disease - Category: Gastroenterology Source Type: research
ConclusionsRobotic NOSES for colorectal cancer is safe and feasible. However, its long-term outcomes needs further investigation.Legal entity responsible for the studyXu Jianmin, Colorectal Surgery Department, Zhongshan Hospital, Fudan University.FundingHas not received any funding.DisclosureAll authors have declared no conflicts of interest.
Source: Annals of Oncology - Category: Cancer & Oncology Source Type: research
Conditions:   Fecal Incontinence;   Low Anterior Resection Syndrome;   Malignant Anal Neoplasm;   Malignant Bladder Neoplasm;   Malignant Cervical Neoplasm;   Malignant Ovarian Neoplasm;   Malignant Pelvic Neoplasm;   Malignant Prostate Neoplasm;   Malignant Uterine Neoplasm;   Mali gnant Vaginal Neoplasm;   Malignant Vulvar Neoplasm;   Rectal Adenocarcinoma;   Stage III Rectal Cancer AJCC v8;   Stage IIIA ...
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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