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Surgical Treatment of Fecal Incontinence

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Anorectal Physiology

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Abstract

Fecal incontinence is the uncontrolled passage of gas or feces. It’s prevalence rates vary, occuring in up to 50% of institutionalized patients. While severity varies among patients, the negative impact on an individual is universal. The etiology of fecal incontinence may be multifactorial but can include risk factors such as age, obstetrical trauma, and postsurgical complications. There is no cure for fecal incontinence; therefore, the goals of treatment are to decrease the frequency and severity of the episodes and ultimately improve quality of life. This chapter will focus on the surgical management of fecal incontinence.

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References

  1. Paquette IM, Madhulika G, Varma MD, et al. The American Society of Colon and Rectal Surgeons’ clinical practice guidelines for the treatment of fecal incontinence. Dis Colon Rectum. 2015;58:623–36.

    Article  PubMed  Google Scholar 

  2. Ditah I, Devaki P, Luma NH, et al. Prevalence, trends, and risk factors for fecal incontinence in United States adults, 2005-2010. Clin Gastroenterol Hepatol. 2014;12:636–43.

    Article  PubMed  Google Scholar 

  3. Brown HW, Wexner SD, Segall MM, Brezoczky KL, Lukacz ES. Accidental bowel leakage in the mature women’s health study: prevalence and predictors. Int J Clin Pract. 2012;66:1101–8.

    Article  CAS  PubMed  Google Scholar 

  4. Brown HW, Wexner SD, Lukacz ES. Factors associated with care seeking among women with accidental bowel leakage. Female Pelvic Med Reconstr Surg. 2013;19(2):66–71.

    Google Scholar 

  5. NIH state-of-the-science conference statement on prevention of fecal and urinary incontinence in adults. NIH Consensus State Sci Statements. 2007;24:1–37.

    Google Scholar 

  6. Brown HW, Wexner SD, Segall MM, Brezoczky KL, Lukacz ES. Quality of life impact in women with accidental bowel leakage. Int J Clin Pract. 2012;66(11):1109–16.

    Article  CAS  PubMed  Google Scholar 

  7. Steele SR, Hull TL, Read TE, et al. The ASCRS textbook of colon and rectal surgery. 3rd ed. New York: Springer Nature; 2016.

    Book  Google Scholar 

  8. Whitehead WE, Borrud I, Goode PS, et al. Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology. 2009;137:512–517, e511-e512.

    Article  PubMed  Google Scholar 

  9. Shamiliyan T, Wyman J, Blis DZ, Kane RL, Wilt TJ. Prevention of urinary and fecal incontinence in adults. Evid Rep/Technol Assess. 2007;161:1–379.

    Google Scholar 

  10. Mellgren A. Fecal Incontinence. Surg Clin North Am. 2010;90:185–94.

    Article  PubMed  Google Scholar 

  11. Jorge JM, Wexner SD. Etiology and management of fecal incontinence. Dis Colon Rectum. 1993;36(1):77–97. Review.

    Article  CAS  PubMed  Google Scholar 

  12. Vaizey CJ, Carapeti E, Cahill JA, Kamm MA. Prospective comparison of faecal incontinence grading systems. Gut. 1999;44(1):77–80.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Rockwood TH, Church JM, Fleshman JW, Kane RL, Mavrantonis C, Thorson AG, Wexner SD, Bliss D, Lowry AC. Patient and surgeon ranking of the severity of symptoms associated with fecal incontinence: the fecal incontinence severity index. Dis Colon Rectum. 1999;42(12):1525–32.

    Article  CAS  PubMed  Google Scholar 

  14. Paquette IM, Varma MG, Kaiser AM, Steele SR, Rafferty JF. The American Society of Colon and Rectal Surgeons' clinical practice guideline for the treatment of fecal incontinence. Dis Colon Rectum. 2015;58(7):623–36.

    Article  PubMed  Google Scholar 

  15. Wexner SD. Percutaneous tibial nerve stimulation in faecal incontinence. Lancet. 2015;386(10004):1605–6.

    Article  PubMed  Google Scholar 

  16. Goetz LH, Lowry AC. Overlapping sphincteroplasty: is it the standard of care? Clin Colon Rectal Surg. 2005;18(1):22–31.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Parks AG, McPartlin JF. Late repair of injuries of the anal sphincter. Proc R Soc Med. 1971;64:1187–9.

    CAS  PubMed  PubMed Central  Google Scholar 

  18. Wexner SD, Marchetti F, Jagelman DG. The role of sphincteroplasty for fecal incontinence reevaluated: a prospective physiologic and functional review. Dis Colon Rectum. 1991;34(1):22–30.

    Google Scholar 

  19. Glasgow SC, Lowry AC. Long-term outcomes of anal sphincter repair for fecal incontinence: a systematic review. Dis Colon Rectum. 2012;55(4):482–90.

    Article  PubMed  Google Scholar 

  20. Oliveira L, Pfeifer J, Wexner SD. Physiological and clinical outcome of anterior sphincteroplasty. Br J Surg. 1996;83(4):502–5.

    Article  CAS  PubMed  Google Scholar 

  21. Vaizey CJ, Norton C, Thornton MJ, Nicholls RJ, Kamm MA. Long-term results of repeat anterior anal sphincter repair. Dis Colon Rectum. 2004;47:858–63.

    Article  PubMed  Google Scholar 

  22. Malouf AJ, Norton CS, Engel AF, Nicholls RJ, Kamm MA. Long-term results of overlapping anterior anal-sphincter repair for obstetric trauma. Lancet. 2000;355:260–5.

    Article  CAS  PubMed  Google Scholar 

  23. Bravo Gutierrez A, Madoff RD, Lowry AC, Parker SC, Buie WD, Baxter NN. Long-term results of anterior sphincteroplasty. Dis Colon Rectum. 2004;47:727–31.

    Article  PubMed  Google Scholar 

  24. Gilliland R, Altomare DF, Moreira H Jr, Oliveira L, Gilliland JE, Wexner SD. Pudendal neuropathy is predictive of failure following anterior overlapping sphincteroplasty. Dis Colon Rectum. 1998;41(12):1516–22. Review.

    Article  CAS  PubMed  Google Scholar 

  25. Giordano P, Renzi A, Efron J, et al. Previous sphincter repair does not affect the outcome of repeat repair. Dis Colon Rectum. 2002;45(5):635–40.

    Article  PubMed  Google Scholar 

  26. Rodrigues FG, Chadi SA, Cracco AJ, Sands DR, Zutshi M, Gurland B, Da Silva G, Wexner SD. Faecal incontinence in patients with a sphincter defect: comparison of sphinceroplasty and sacral nerve stimulation. Color Dis. 2017;19(5):456–61.

    Article  CAS  Google Scholar 

  27. Shafik A. Polytetrafluoroethylene injection for the treatment of partial fecal incontinence. Int Surg. 1993;78:159–61.

    CAS  PubMed  Google Scholar 

  28. Maeda Y, Laurberg S, Norton C. Perianal injectable bulking agents as treatment for faecal incontinence in adults. Cochrane Database Syst Rev. 2010:CD007959.

    Google Scholar 

  29. Graf W, Mellgren A, Matzel KE, Hul T, Johansson C, Bernstein M, NASHA Dx Study Group. Efficacy of dextranomer in stabilized hyaluronic acid for treatment of faecal incontinence: a randomised, sham-controlled trial. Lancet. 2011;377:997–1003.

    Article  CAS  PubMed  Google Scholar 

  30. Mellgren A, Matzel KE, Pollack J, Hull T, Bernstein M, Graf W, NASHA Dx Study Group. Long-term efficacy of NASHA Dx injection therapy for treatment of fecal incontinence. Neurogastroenterol Motil. 2014;26:1087–94.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Danielson J, Karlbom U, Wester T, Graf W. Efficacy of quality of life 2 years after treatment for faecal incontinence with injectable bulking agents. Tech Coloproctol. 2013;17:389–95.

    Article  CAS  PubMed  Google Scholar 

  32. Rosato G, Piccinini P, Oliveira L, Habr-Gamma A, Chwat C. Initial results of a new bulking agent for fecal incontinence: a multicenter study. Dis Colon Rectum. 2015;58:241–6.

    Article  PubMed  Google Scholar 

  33. Madae Y, Laurberg S, Norton C. Perianal injectable bulking agents as treatment for faecal incontinence in adults. Cochrane Database Syst Rev. 2013;2:CD007959.

    Google Scholar 

  34. Kaiser AM, Orangio GR, Zutshi M, Alva S, Hull TL, Marcello PW, Margolin DA, Rafferty JF, Buie WD, Wexner SD. Current status: new technologies for the treatment of patients with fecal incontinence. Surg Endosc. 2014;28(8):2277–301.

    Article  PubMed  Google Scholar 

  35. Ratto C, Buntzen S, Aigner F, et al. Multicentre observational study of the Gatekeeper for faecal incontinence. Br J Surg. 2016;103(3):290–9.

    Google Scholar 

  36. Trenti L, Biondo S, Noguerales F, Nomdedeu J, Coret A, Scherer R, et al. Outcomes of Gatekeeper (TM) prosthesis implantation for the treatment of fecal incontinence: a multicenter observational study. Tech Coloproctol. 2017;21(12):963–70. PubMed PMID: 29159781.

    Google Scholar 

  37. Grossi U, De Simone V, Parello A, et al. Gatekeeper improves Voluntary Contractility in Patients with Fecal Incontinence. Surg Innov. 2019;26(3):321–7.

    Google Scholar 

  38. Parks AG, Porter NH, Hardcastle J. The syndrome of the descending perineum. Proc R Soc Med. 1966;59:477–82.

    CAS  PubMed  PubMed Central  Google Scholar 

  39. Yamana T, Takahashi T, Iwadare J. Perineal Puborectalis sling operation for fecal incontinence: preliminary report. Dis Colon Rectum. 2004;47:1982–9.

    Article  PubMed  Google Scholar 

  40. Brochard C, Queralto M, Cabarrot P, et al. Technique of the transobturator puborectalis sling in fecal incontinence. Tech Coloproctol. 2017;21:315–8.

    Article  CAS  PubMed  Google Scholar 

  41. Mellgren A, Zutshi M, Lucente VR, et al. A posterior anal sling for fecal incontinence: results of a 152-patient prospective multicenter study. Am J Obstet Gynecol. 2016;214:349.e1–8.

    Article  PubMed  Google Scholar 

  42. Rosenblatt P. New developments in therapies for fecal incontinence. Curr Opin Obstet Gynecol. 2015;27:353–8.

    Article  PubMed  Google Scholar 

  43. Herman RM, Berho M, Murawski M, Nowakowski M, Ryś J, Schwarz T, Wojtysiak D, Wexner SD. Defining the histopathological changes induced by nonablative radiofrequency treatment of faecal incontinence--a blinded assessment in an animal model. Color Dis. 2015;17(5):433–40.

    Article  CAS  Google Scholar 

  44. Efron JE. The SECCA procedure: a new therapy for treatment of fecal incontinence. Surg Technol Int. 2004;13:107–10.

    PubMed  Google Scholar 

  45. Takahashi T, Garcia-Osogobio S, Valdovinos MA, et al. Radiofrequency energy delivery to the anal canal for the treatment of fecal incontinence. Dis Colon Rectum. 2002;45:915–22.

    Article  PubMed  Google Scholar 

  46. Takahashi-Monroy T, Morales M, Garcia-Osogobio S, et al. SECCA procedure for the treatment of fecal incontinence: results of five-year follow-up. Dis Colon Rectum. 2008;51:355–9.

    Article  PubMed  Google Scholar 

  47. Frascio M, Mandolfino F, Imperatore M, et al. The SECCA procedure for faecal incontinence: a review. Color Dis. 2014;16:167–72.

    Article  CAS  Google Scholar 

  48. Visscher AP, Lam TJ, Meurs-Szojda MM, et al. Temperature-controlled delivery of radiofrequency energy in fecal incontinence: a randomized sham-controlled clinical trial. Dis Colon Rectum. 2017;60:860–5.

    Article  PubMed  Google Scholar 

  49. Alavi K, Chan S, Wise P, Kaiser AM, Sudan R, Bordeianou. Fecal incontinence: etiology, diagnosis, and management. J Gastrointest Surg. 2015;19:1910–21.

    Article  PubMed  Google Scholar 

  50. Cera SM, Wexner SD. Muscle transposition: does it still have a role? Clin Colon Rectal Surg. 2005;18(1):46–54.

    Article  PubMed  PubMed Central  Google Scholar 

  51. Geerdes BP, Heineman E, Konsten J, Soeters PB, Baeten CG. Dynamic Graciloplasty. Complications and management. Dis Colon Rectum. 1996;39:912–7.

    Article  CAS  PubMed  Google Scholar 

  52. Mander BJ, Wexner SD, Williams NS, et al. Preliminary results of a multicenter trial of the electrically stimulated gracilis neoanal sphincter. Br J Surg. 1999;86:1543–8.

    Article  CAS  PubMed  Google Scholar 

  53. Baeten CG, Bailey HR, Bakka A, Belliveau P, Berg E, Buie WD, et al. Safety and efficacy of dynamic graciloplasty for fecal incontinence: report of a prospective, multicenter trial. Dynamic Graciloplasty Therapy Study Group. Dis Colon Rectum. 2000;43:743–51.

    Article  CAS  PubMed  Google Scholar 

  54. Wong MT, Meurette G, Stangherlin P, et al. The magnetic anal sphincter versus the artificial bowel sphincter: a comparison of 2 treatments for fecal incontinence. Dis Colon Rectum. 2011;54:773–9.

    Article  PubMed  Google Scholar 

  55. Lehur PA, McNevin S, Buntzen S, Mellgren AF, Laurberg S, Madoff RD. Magnetic anal sphincter augmentation for the treatment of fecal incontinence: a preliminary report from a feasibility study. Dis Colon Rectum. 2010;53:1604–10.

    Article  PubMed  Google Scholar 

  56. Sugrue J, Lehur PA, Madoff RD, et al. Long-term experience of magnetic anal Sphincter augmentation in patients with fecal incontinence. Dis Colon Rectum. 2017;60:87–95.

    Article  PubMed  Google Scholar 

  57. Williams AE, Croft J, Napp V, et al. SaFaRI: sacral nerve stimulation versus the FENIX magnetic sphincter augmentation for adult faecal incontinence: a randomised design. Int J Color Dis. 2016;31:465–72.

    Article  Google Scholar 

  58. Lehur PA, Wyart V, Riche VP. SaFaRI: sacral nerve stimulation versus the Fernix magnetic sphincter augmentation for adult faecal incontinence: a randomised investigation. Int J Color Dis. 2016;31:1505.

    Article  Google Scholar 

  59. Christiansen J, Lorentzen M. Implantation of artificial sphincter for incontinence. Lancet. 1987;2:244–5.

    Article  CAS  PubMed  Google Scholar 

  60. Lehur PA, Glemain P, Bruley des Varannes S, et al. Outcome of patients with an implanted artificial anal sphincter for severe faecal incontinence. A single institution report. Int J Color Dis. 1998;13:88–92.

    Article  CAS  Google Scholar 

  61. Wong WD, Congliosi SM, Spencer MP, et al. The safety and effi cacy of the artificial bowel sphincter for fecal incontinence: results from a multicenter cohort study. Dis Colon Rectum. 2002;45(9):1139–53.

    Article  PubMed  Google Scholar 

  62. Hong KW, Dasilva G, Kalaskar SN, et al. Long-term outcomes of artificial bowel sphincter for fecal incontinence: a systematic review and meta-analysis. J Am Coll Surg. 2013;217(4):718–25.

    Article  PubMed  Google Scholar 

  63. Wexner SD, Jin HY, Weiss EG, et al. Factors associated with failure of the artificial bowel sphincter: a study of over 50 cases from Cleveland Clinic Florida. Dis Colon Rectum. 2009;52(9):1550–7.

    Article  PubMed  Google Scholar 

  64. Wong MT, Meurette G, Stangherlin P, et al. The magnetic anal sphincter versus the artificial bowel sphincter: a comparison of 2 treatments for fecal incontinence. Dis Colon Rectum. 2011;54(7):773–9.

    Article  PubMed  Google Scholar 

  65. Weledji EP. Electrophysiological basis of fecal incontinence and its implications for treatment. Ann Coloproctol. 2013;33:161–8.

    Article  Google Scholar 

  66. Matzel KE, Stadelmaier U, Hohenfellner M, Gall FP. Electrical stimulation of sacral spinal nerves for treatment of faecal incontinence. Lancet. 1995;346:1124–7.

    Article  CAS  PubMed  Google Scholar 

  67. Wexner SD, Coller JA, Devroede G, et al. Sacral nerve stimulation for fecal incontinence: results of a 120-patient prospective multicenter study. Ann Surg. 2010;251:441–9.

    Article  PubMed  Google Scholar 

  68. Hull T, Giese C, Wexner SD, et al. SNS Study Group. Long-term durability of sacral nerve stimulation therapy for chronic fecal incontinence. Dis Colon Rectum. 2013;56:234–45.

    Article  PubMed  Google Scholar 

  69. Zbar AP. Sacral neuromodulation and peripheral nerve stimulation in patients with anal incontinence: an overview of techniques, complications and troubleshooting. Gastroenterol Rep. 2014;2(2):112–20.

    Article  Google Scholar 

  70. Oliveira L, Hagerman G, Torres ML, et al. Sacral neuromodulation for fecal incontinence in Latin America: initial results of amulticenter study. Tech Coloproctol. 2019;23(6):545–50.

    Google Scholar 

  71. Brouwer R, Duthie G. Sacral nerve neuromodulation is effective treatment for fecal incontinence in the presence of a sphincter defect, pudendal neuropathy, or previous sphincter repair. Dis Colon Rectum. 2010;53(3):273–8.

    Article  PubMed  Google Scholar 

  72. Thin NN, Horrocks EJ, Hotouras A, Palit S, Thaha MA, Chan CL, Matzel KE, Knowles CH. Systematic review of the clinical effectiveness of neuromodulation in the treatment of faecal incontinence. Br J Surg. 2013;100(11):1430–47.

    Article  CAS  PubMed  Google Scholar 

  73. Knowles CH, Horrocks EJ, Bremner SA, Stevens N, Norton C, O-Connell PR, Eldridge S. Percutaneous tibial nerve stimulation versus sham electrical stimulation for the treatment of faecal incontinence in adults (CONFIDeNT): a double-blind, multicenter, pragmatic, parallel-group, randomised controlled trial. Lancet. 2015;386:1640–8.

    Article  PubMed  Google Scholar 

  74. van der Wilt AA, Giuliani G, Kubis C, van Wunnik BPW, Ferreira I, Breukink SO, Lehur PA, La Torre F, Baeten CGMI. Randomized clinical trial of percutaneous tibial nerve stimulation versus sham electrical stimulation in patients with faecal incontinence. Br J Surg. 2017;104:1167–76.

    Article  PubMed  Google Scholar 

  75. Malone PS, Ransley PG, Kiely EM. Preliminary report: the Antegrade continence enema. Lancet. 1990;336:1217–8.

    Article  CAS  PubMed  Google Scholar 

  76. Patel AS, Saratzis A, Arasaradnam R, Harmston C. Use of antegrade continence enema for the treatment of fecal incontinence and functional constipation in aduluts: a systematic review. Dis Colon Rectum. 2015;58:999–1013.

    Article  PubMed  Google Scholar 

  77. Van Koughett JM, Wexner SD. Current management of fecal incontinence: choosing amongst treatment options to optimize outcomes. World J Gastroenterol. 2013;28:9216–30.

    Article  Google Scholar 

  78. Chan DS, Delicata RJ. Meta-analysis of Antegrade continence enema in adults with faecal incontinence and constipation. Br J Surg. 2016;103:322–7.

    Article  CAS  PubMed  Google Scholar 

  79. Bleier JS, Kann BR. Surgical Management of Fecal Incontinence. Gastroenterol Clin N Am. 2013;42:815–36.

    Article  Google Scholar 

  80. Hirst GR, Arumugam PJ, Watkins AJ, et al. Antegrade continence enema in the treatment of obstructed defaecation with or without faecal incontinence. Tech Coloproctol. 2005;9:217–21.

    Article  CAS  PubMed  Google Scholar 

  81. Hill J, Stott S, MacLennan I. Antegrade enemas for the treatment of severe idiopathic constipation. Br J Surg. 1994;81:1490–1.

    Article  CAS  PubMed  Google Scholar 

  82. Norton C, Burch J, Kamm MA. Patients’ views of a colostomy for fecal incontinence. Dis Colon Rectum. 2005;18:42–5.

    Google Scholar 

  83. Trebol J, Carabias-Orgaz A, Gracia-Arranz M, Garcia-Olmo D. Stem cell therapy for faecal incontinence: current state and future perspectives. World J Stem Cells. 2018;10:82–105.

    Article  PubMed  PubMed Central  Google Scholar 

  84. Bisson A, Freret M, Drouot L, et al. Restoration of anal sphincter function after myoblast cell therapy in incontinent rats. Cell Transplant. 2015;24:277–86.

    Article  PubMed  Google Scholar 

  85. Kang SB, Lee HN, Lee JY, et al. Sphincter contractility after muscle-derived stem cells autograft into the cryoinjured anal sphincters of rats. Dis Colon Rectum. 2008;51:1367–72.

    Article  PubMed  PubMed Central  Google Scholar 

  86. Lorenzi B, Pessina F, Lorenzo P, et al. Treatment of experimental injury of anal sphincters with primary surgical repair and injection of bone marrow-derived mesenchymal stem cells. Dis Colon Rectum. 2008;51:411–20.

    Article  PubMed  Google Scholar 

  87. Frudinger A, Kölle D, Schwaiger W, et al. Muscle-derived cell injection to treat anal incontinence due to obstetric trauma: pilot study with 1 year follow-up. Gut. 2010;59:55–61.

    Article  CAS  PubMed  Google Scholar 

  88. Frudinger A, Pfeifer J, Paede J, et al. Autologous skeletal-muscle-derived cell injection for anal incontinence due to obstetric trauma: a 5-year follow-up of an initial study of 10 patients. Color Dis. 2015;17:794–801.

    Article  CAS  Google Scholar 

  89. Boyer O, Bridoux V, Giverne C, Bisson A, Koning E, Leroi AM, Chambon P, Déhayes J, Le Corre S, Jacquot S, Bastit D, Martinet J, Houivet E, Tuech JJ, Benichou J, Michot F, the Study Group of Myoblast Therapy for Faecal Incontinence. Autologous myoblasts for the treatment of fecal incontinence: results of a phase 2 randomized placebo-controlled study (MIAS). Ann Surg. 2018;267:443–50.

    Article  PubMed  Google Scholar 

  90. Paquette IM, Bordeianou L. Evaluation and treatment of FI. In: Steele SR, Hull TL, Read TE, editors. The ASCRS textbook of colon and rectal surgery. 3rd ed. New York: Springer Nature; 2016. p. 1091–105.

    Chapter  Google Scholar 

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Authors and Affiliations

  1. University of Minnesota, Department of Surgery, Minneapolis, MN, USA

    Anne Sirany

  2. Chair, Department of Colorectal Surgery, Cleveland Clinic Florida, Digestive Disease Center, Weston, FL, USA

    Steven D. Wexner

  3. Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL, USA

    Giovanna Da Silva

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  1. Anne Sirany
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  2. Steven D. Wexner
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  3. Giovanna Da Silva
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Correspondence to Giovanna Da Silva .

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Editors and Affiliations

  1. Director Department of Anorectal Physiology of Rio de Janeiro and CEPEMED, Rio de Janeiro, Brazil

    Lucia Camara Castro Oliveira

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Sirany, A., Wexner, S.D., Da Silva, G. (2020). Surgical Treatment of Fecal Incontinence. In: Oliveira, L. (eds) Anorectal Physiology. Springer, Cham. https://doi.org/10.1007/978-3-030-43811-1_16

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