PMID: 6407612Jun 11, 1983Paper

Results of Parks operation for faecal incontinence after anal sphincter injury

British Medical Journal
G G Browning, R W Motson

Abstract

Parks operation for faecal incontinence was performed on 97 patients with total loss of anorectal control due to injury. All had sustained complete division of the anal sphincters as a result of trauma, anal surgery, or obstetric tears and either were incontinent or had been given a colostomy. In all patients the divided sphincters were repaired using an overlapping technique; in 93 the repair was protected by a temporary defunctioning stoma. There was no operative mortality. Continence was completely restored in 65 (78%) and improved in a further 11 (13%) of the 83 patients assessed from four to 116 months postoperatively. Minor complications which did not affect the eventual clinical outcome occurred in 23 patients. Factors associated with failure of the operation included breakdown of the repair in the early postoperative period, fistula, and pelvic floor neuropathy. The results show that even after severe injury to the sphincters surgical reconstruction can restore continence in most patients.

References

Apr 1, 1983·Diseases of the Colon and Rectum·G G Browning, A G Parks
Dec 29, 1953·The Journal of Physiology·W F FLOYD, E W WALLS
Nov 1, 1962·Diseases of the Colon and Rectum·A G PARKSJ MELZAK
Jul 1, 1948·American Journal of Surgery·R TURELLK DAVIS

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Citations

Jan 1, 1985·Langenbecks Archiv für Chirurgie·P R Hawley
Aug 1, 1996·Diseases of the Colon and Rectum·R J Felt-BersmaM Koorevaar
Jan 1, 1989·Diseases of the Colon and Rectum·K Yoshioka, M R Keighley
Jul 2, 1999·Obstetrics and Gynecology·J ZetterströmA Mellgren
Dec 23, 1993·The New England Journal of Medicine·A H SultanC I Bartram
Apr 2, 1994·BMJ : British Medical Journal·A H SultanC I Bartram
Sep 1, 1992·World Journal of Surgery·F Penninckx
Dec 1, 1983·British Journal of Urology·R C TiptaftJ P Blandy
May 6, 2015·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·UNKNOWN Italian Society of Colorectal Surgery (SICCR)Paolo Usai Satta
Aug 1, 1994·The British Journal of Surgery·A F EngelR J Nicholls
Jan 1, 1988·European Journal of Obstetrics, Gynecology, and Reproductive Biology·K HaademG Lingman
Apr 8, 1998·The British Journal of Surgery·T A Cook, N J Mortensen
Aug 17, 2004·The American Journal of Gastroenterology·Satish S C Rao, UNKNOWN American College of Gastroenterology Practice Parameters Committee
Sep 1, 1992·British Journal of Obstetrics and Gynaecology·K M Bek, S Laurberg
Dec 1, 1990·Annals of Medicine·M Pinho, M R Keighley
Dec 10, 2013·The Cochrane Database of Systematic Reviews·Ruwan J FernandoRanee Thakar
Feb 9, 2016·Obstetrics and Gynecology·Jon F PennycuffDeborah R Karp
Dec 23, 2003·Scandinavian Journal of Gastroenterology·C Savoye-ColletJ N Dacher
Jun 1, 1996·Diseases of the Colon and Rectum·A OsterbergL Hakelius

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