Skip to main content
SpringerLink
Log in

Sphincter anal artificiel (Acticon Néosphincter®)

Artificial anal sphincter (Acticon® Neosphincter)

  • Mise Au Point / Update
  • Published:
Pelvi-périnéologie

Résumé

Cette mise au point décrit successivement: 1) les principes du sphincter anal artificiel; 2) sa technique d’implantation, envisageant l’abord périnéal et la voie vaginale d’implantation de la manchette; 3) les résultats à partir d’une revue de la littérature analysant les études multicentrique et monocentrique publiées: résultats cliniques, complications précoces et tardives, résultats manométriques, résultats fonctionnels sur la continence anale et les troubles de vidange du rectum; 4) les indications actuelles de cette intervention.

Abstract

This report describes: 1) the principles behind the artificial anal sphincter; 2) its implantation technique, including a discussion of the standard implantation procedure by perianal incision and transvaginal approach; 3) the results of a literature review analyzing multicentre and single-centre studies, including clinical results, early and late morbidity, manometric results, and functional results regarding anal continence and rectal emptying difficulties; and 4) the current indications for the procedure.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Références

  1. Vaizey CJ, Kamm MA, Gold DM, et al. (1998) Clinical, physiological and radiological study of the new purpose-designed artificial bowel sphincter. Lancet 352: 105–109

    PubMed  CAS  Google Scholar 

  2. Jorge JMN, Wexner SD (1993) Etiology and management of faecal incontinence. Dis Colon Rectum 36: 77–97

    Article  PubMed  CAS  Google Scholar 

  3. Denis P, Bercoff E, Bizien MF, et al. (1992) Étude de la prévalence de l’incontinence anale chez l’adulte. Gastroenterol Clin Biol 16: 344–350

    PubMed  CAS  Google Scholar 

  4. Karoui S, Leroi AM, Koning E, et al. (2000) Results of sphincteroplasty in 86 patients with anal incontinence. Dis Colon Rectum 43: 813–820

    Article  PubMed  CAS  Google Scholar 

  5. Le Blanc I, Michot F, Ducrotte P, et al. (1993) In case of reeducation failure, should postanal repair be the treatment of idiopathic faecal incontinence. Dig Surg 10: 39–42

    Article  Google Scholar 

  6. Setti-Carraro P, Kamm MA, Nicholls RJ (1994) Long-term results of postanal repair for neurogenic faecal incontinence. Br J Surg 81: 140–144

    Article  PubMed  CAS  Google Scholar 

  7. Leroi AM, Michot F, Grise P, Denis P (2001) Effect of sacral nerve stimulation in patients with faecal and urinary incontinence. Dis Colon Rectum 44: 779–789

    Article  PubMed  CAS  Google Scholar 

  8. Michot F, Tuech JJ, Lefébure B, et al. (2007) A new implantation procedure of artificial sphincter for anal incontinence: the transvaginal approach. Dis Colon Rectum (in press)

  9. O’Brien PE, Dixon JB, Skinner S, et al. (2004) A prospective, randomized, controlled clinical trial of placement of the artificial bowel sphincter (Acticon Neosphincter) for the control of faecal incontinence. Dis Colon Rectum 11: 1852–1860

    Article  Google Scholar 

  10. Mundy L, Merlin TL, Maddern GJ, Hiller JE (2004) Systematic review of safety and effectiveness of an artificial bowel sphincter for faecal incontinence. Br J Surg 91: 665–672

    Article  PubMed  CAS  Google Scholar 

  11. Wong WD, Congliosi SM, Spencer MP, et al. (2002) The safety and efficacy of the artificial bowel sphincter for faecal incontinence. Dis Colon Rectum 1139–1153

  12. Parker SC, Spencer MP, Madoff RD, et al. (2003) Artificial bowel sphincter: long-term experience at a single institution. Dis Colon Rectum 46: 722–729

    Article  PubMed  Google Scholar 

  13. Michot F, Costaglioli B, Leroi AM, Denis P (2003) Artificial anal sphincter in severe faecal incontinence. Ann Surg 237: 52–56

    Article  PubMed  Google Scholar 

  14. Devesa JM, Rey A, Hervas PL, et al. (2003) Artificial anal sphincter: complications and functional results of a large personal series. Dis Colon Rectum 45: 1154–1163

    Article  Google Scholar 

  15. Lehur PA, Roig JV, Duinslaeger M (2000) Artificial anal sphincter: prospective clinical and manometric evaluation. Dis Colon Rectum 43: 1100–1106

    Article  PubMed  CAS  Google Scholar 

  16. Gregorcyk SG (2005) The current status of the Acticon Neosphincter. Clinics in colon and rectal surgery 18: 32–37

    Article  Google Scholar 

  17. Savoye G, Leroi AM, Denis P, Michot F (2000) Manometric assessment of an artificial bowel sphincter. Br J Surg 87: 586–589

    Article  PubMed  CAS  Google Scholar 

  18. Matzel KE, Madoff RD, LaFontaine LJ, et al. (2001) Complications of dynamic graciloplasty. Dis Colon Rectum 44: 1427–1435

    Article  PubMed  CAS  Google Scholar 

  19. Christiansen J, Rasmusen O, Lindorff-Larsen K (1999) Long-term results of artificial anal sphincter implantation for severe anal incontinence. Ann Surg 230: 45–48

    Article  PubMed  CAS  Google Scholar 

  20. Romano G, La Torre F, Cutini G, et al. (2003) Total anal reconstruction with the artificial bowel sphincter: report of eight cases. Equality of life assessment. Dis Colon Rectum 46: 730–734

    Article  PubMed  Google Scholar 

  21. Colquhoun PH, Efron J, Wexner SD (2004) Attainment of continence with J-pouch and artificial bowel sphincter for concomitant imperforate anus and familial adenomatous polyposis: report of a case. Dis Colon Rectum 47: 538–541

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Service de chirurgie digestive, hôpital Charles-Nicolle, F-76031, Rouen cedex, France

    F. Michot, V. Bridoux, B. Lefébure & J. -J. Tuech

Authors
  1. F. Michot
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. V. Bridoux
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. B. Lefébure
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. J. -J. Tuech
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to F. Michot.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Michot, F., Bridoux, V., Lefébure, B. et al. Sphincter anal artificiel (Acticon Néosphincter®). Pelv Perineol 2, 313–317 (2007). https://doi.org/10.1007/s11608-007-0152-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11608-007-0152-y

Mots clés

Keywords

Search

Navigation