## Post-operative Management
This is the same as for the Wells procedure (see pp. 20-30).

lgrsnf/A:\Springer\bok%3A978-1-4471-3348-3.pdf

nexusstc/Surgical Treatment of Anal Incontinence/32c9ab73b627f8f884bab01eeabd75f3.pdf

zlib/Medicine/Charles V. Mann MCh, FRCS, Richard E. Glass MS, FRCS (auth.)/Surgical Treatment of Anal Incontinence_2246034.pdf

B. Hyams, Charles V. Mann, R. Lane, Richard E. Glass

Springer London, Limited

United Kingdom and Ireland, United Kingdom

Springer Nature, London, 2012

lg1077069

{"isbns":["144713348X","1447133501","9781447133483","9781447133506"],"last_page":169,"publisher":"Springer London"}

It is only in the last 25 years that the treatment of anal incontinence has become an important surgical discipline. This is not only because our understanding of the disorder has been greatly augmented by new investigative methods. It is also because the hydrocarbon industry has provided us with suitable materials with which to carry out the complex repairs that are now possible. Like most new areas of therapy, initial enthusiasm has been modified by experience. Some techniques have been amended or abandoned. Others have been shown to have very specific indications and to pe unsuitable for general use. But the total of cases treated by surgical means continues to grow, and as the field widens it is apparent that large numbers of people are still suffering from anal incontinence silently and unheard, and have been abandoned to their misery by society at large. For some of these unfortunates, the consequences are appalling: they become outcasts even within their own families; in some communities they are unable to practise their religion. They are truly regarded as'dirty', and are shunned. Because a large body of surgical experience has accrued, nowadays many of these cases can be cured, and most of them substantially alleviated. But a mis-applied or badly performed operation can be a disaster for both the patient and the surgeon.

It is only in the last 25 years that the treatment of anal incontinence has become an important surgical discipline. This is not only because our understanding of the disorder has been greatly augmented by new investigative methods. It is also because the hydrocarbon industry has provided us with suitable materials with which to carry out the complex repairs that are now possible. Like most new areas of therapy, initial enthusiasm has been modified by experience. Some techniques have been amended or abandoned. Others have been shown to have very specific indications and to pe unsuitable for general use. But the total of cases treated by surgical means continues to grow, and as the field widens it is apparent that large numbers of people are still suffering from anal incontinence silently and unheard, and have been abandoned to their misery by society at large. For some of these unfortunates, the consequences are appalling: they become outcasts even within their own families; in some communities they are unable to practise their religion. They are truly regarded as "dirty", and are shunned. Because a large body of surgical experience has accrued, nowadays many of these cases can be cured, and most of them substantially alleviated. But a mis-applied or badly performed operation can be a disaster for both the patient and the surgeon

Front Matter....Pages i-xiii
Essential Anatomy of Anal Continence....Pages 1-10
Physiology of Anal Continence....Pages 11-18
Abdominal Techniques....Pages 19-38
Anterior Perineal Techniques [2]....Pages 39-50
Posterior Perineal Techniques....Pages 51-68
Circum-anal Techniques....Pages 69-84
Per-anal Techniques....Pages 85-101
Technique of Anal Sphincter Repair (Syn. Overlap Technique)....Pages 103-106
Techniques for Congenital Anal Deformity Encountered in Later Life....Pages 107-126
Techniques for Repair of Traumatic Injury of the Anal Sphincters....Pages 127-138
Techniques for Repair of Recto-vaginal Fistula....Pages 139-158
Back Matter....Pages 159-160

The first title to address itself to the problem of anal in- continence, a disability hitherto judged incurable

2013-12-12