Does Implantation of an Artificial Soft Anal Band Provide an Opportunity for Improvement of Biopsychosocial Function in Patients with Severe Fecal Incontinence?
Joint Authors
Zelazny, Dorota
Romaniszyn, Michał
Walega, Piotr
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-10-29
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Introduction.
Severe fecal incontinence describes a condition of complete loss of control over fundamental physiological functions and loss of abilities to fulfil psychosocial functions by the patients.
The last-step procedure, that is, to restore hope for improvement of biopsychosocial functioning and quality of life determined by the patient’s health status is implantation of an artificial anal sphincter.
Objective.
The study was a comparative analysis of the effect of the employed surgical procedure upon the degree of defecation control and quality of life indices in its behavioral, mental, and social aspects prior to and 3, 6, and 12 months postoperatively.
The analysis also included the effect of the patient’s individual style of coping with stress and the functional outcome of the procedure.
Material and Methods.
The study included a group of 12 patients: 6 females and 6 males, aged from 36 to 60 years of life.
The tools consisted of scoring systems that measured symptom intensity (FISI and Jorge and Wexner scale).
In assessing the psychosocial functioning, the authors employed the Fecal Incontinence Quality of Life Scale (by Rockwood).
The individual mode of coping with the disease was evaluated by using the CISS scale by Endler and Parker.
Conclusions.
The analysis of results demonstrated that the procedure of implanting an artificial anal sphincter affected the “continence” (up to 50–60% postoperatively) and led to improvement in psychosocial functioning in all its assessed aspects, i.e., lifestyle, employment of precautionary measures, depression, anxiety, and embarrassment.
It was also noted that due to the specific character of the procedure (the necessity to operate an artificial implant), better mean results in assessment of the procedure functionality were achieved by patients presenting the goal-concentrated mode rather than emotions-concentrated mode of coping with the disease.
Thus, it seems justified to state that assessment of biopsychological functioning may be a good criterion of the procedure effectiveness.
American Psychological Association (APA)
Zelazny, Dorota& Romaniszyn, Michał& Walega, Piotr. 2019. Does Implantation of an Artificial Soft Anal Band Provide an Opportunity for Improvement of Biopsychosocial Function in Patients with Severe Fecal Incontinence?. Surgery Research and Practice،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1210786
Modern Language Association (MLA)
Zelazny, Dorota…[et al.]. Does Implantation of an Artificial Soft Anal Band Provide an Opportunity for Improvement of Biopsychosocial Function in Patients with Severe Fecal Incontinence?. Surgery Research and Practice No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1210786
American Medical Association (AMA)
Zelazny, Dorota& Romaniszyn, Michał& Walega, Piotr. Does Implantation of an Artificial Soft Anal Band Provide an Opportunity for Improvement of Biopsychosocial Function in Patients with Severe Fecal Incontinence?. Surgery Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1210786
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1210786