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This book presents state of the art knowledge regarding the pathophysiology and diagnosis of fecal incontinence and describes and illustrates all relevant treatment techniques. In addition to the approaches that have been the mainstay of treatment of fecal incontinence to date, it covers recent innovations and emerging options, including neurostimulation, pioneering techniques exploiting the potential of stem cells, biofeedback training, reconstructive surgery, and advances in biomedical engineering applicable to replacement surgery. Fecal incontinence is a common, socially debilitating disorder of multifactorial etiology that poses many management challenges. This book will assist all relevant medical specialists, including surgeons, neurologists, gastroenterologists, urogynecologists, and other clinicians, in achieving correct and timely diagnosis and delivering effective therapy that reflects the ongoing revolution in treatment.
List of contents
1 Anatomy.- 2 Physiology and Pathophysiology.- 3 Diagnosis and Imaging.- 4 Endoanal Ultrasound.- 5 MR.- 6 Anorectal Manometry.- 7 Electromyography.- 8 Pelvic Floor Rehabilitation.- 9 Radiofrequency (SECCA procedure).- 10 Sacral Nerve Stimulation.- 11 Bulking agent and perspectives.- 12 Artificial Bowel Sphincter.- 13 Anal Sphincter Reconstructions and Replacements.- 14 Stoma.- 15 Stem Cells.
About the author
Massimo Mongardini is professor of Surgery at the Sapienza University of Rome. He graduated and specialized at the same university, and, after his PhD, he became ATLS surgeon (Advanced Trauma Life Support) following the program of the American College of Surgeons. He has performed over 5,000 surgical procedures in emergency and elective surgery with large series of colon, rectum and pelvic floor reconstruction. He is author of more than 140 papers in indexed national and international journals, of many training surgical techniques films, as well as coauthor of a Surgery textbook for university students. Prof. Mongardini has been organizer and teacher in numerous training scholarship (including CME courses) and scientific events of regional and national level. He is an expert of informatics applied to medicine: he has created several databases and digital archives in the medical field, with a special focus on the surgical area. He has a good experience of digital networking.
Manuel Giofrè is a General Surgeon at the University Policlinic of Rome “Umberto I”. Since the beginning of his professional history, his research focus has been on perineology and particularly on the physiopathology, diagnosis and therapy of fecal incontinence. He is co-author of various papers on this topic and he participated in numerous conferences on coloproctology.
Summary
This book presents state of the art knowledge regarding the pathophysiology and diagnosis of fecal incontinence and describes and illustrates all relevant treatment techniques. In addition to the approaches that have been the mainstay of treatment of fecal incontinence to date, it covers recent innovations and emerging options, including neurostimulation, pioneering techniques exploiting the potential of stem cells, biofeedback training, reconstructive surgery, and advances in biomedical engineering applicable to replacement surgery. Fecal incontinence is a common, socially debilitating disorder of multifactorial etiology that poses many management challenges. This book will assist all relevant medical specialists, including surgeons, neurologists, gastroenterologists, urogynecologists, and other clinicians, in achieving correct and timely diagnosis and delivering effective therapy that reflects the ongoing revolution in treatment.
