{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T12:35:48Z","timestamp":1761395748919},"reference-count":22,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2020,5,20]],"date-time":"2020-05-20T00:00:00Z","timestamp":1589932800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,5,20]],"date-time":"2020-05-20T00:00:00Z","timestamp":1589932800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,5,20]],"date-time":"2020-05-20T00:00:00Z","timestamp":1589932800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Conventionally, the Thiersch operation has typically involved blind positioning of the sling, and sling tension is subjectively based on a rule\u2010of\u2010thumb estimate. The aim of this study was to describe standardized methods for performing the Thiersch operation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Seventeen patients with fecal incontinence underwent the calibrated method of the Thiersch procedure. As an encircling sling, a 6\u2010mm\u2010wide silastic tube was used. Through 4\u00a0minimal perianal skin incisions, the sling was placed proximal to the anal skin 3\u00a0cm from the anal verge and 4\u00a0cm in depth. The circumference of the sling was 10\u00a0cm in length. Results were assessed by clinical responses and by comparing pre\u2010 and postoperative Wexner scores. The data were collected retrospectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median follow\u2010up period was 9\u00a0months (range 6\u201319). In 16 out of 17 fecal incontinence patients (94.1%), the median Wexner incontinence score was 0 (range 0\u20133) postoperatively. Localized sepsis developed in three cases (17.7%, 3\/17), which were controlled with drainage and antibiotics. Fecal impaction occurred in one case (5.9%, 1\/17). There was no removal or breakage of the inserted sling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The elasticity of the silastic tube reduced the incidence of sling breakage. According to the standardized method, the sling was placed external to the external anal sphincter muscle and at the junction of the external anal sphincter muscle and puborectalis muscle. Fecal incontinence was controlled effectively, and the incidence of fecal impaction was negligible. High reproducibility was observed with this method.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-020-05554-7","type":"journal-article","created":{"date-parts":[[2020,5,20]],"date-time":"2020-05-20T00:02:32Z","timestamp":1589932952000},"page":"3141-3148","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Standardized Method of the Thiersch Operation for the Treatment of Fecal Incontinence"],"prefix":"10.1002","volume":"44","author":[{"given":"Cheong Ho","family":"Lim","sequence":"first","affiliation":[{"name":"Department of Coloproctology Yang Hospital 933, Gyeongchun\u2010ro 12234 Namyangju\u2010si Gyeonggi\u2010do Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wook Ho","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Coloproctology Yang Hospital 933, Gyeongchun\u2010ro 12234 Namyangju\u2010si Gyeonggi\u2010do Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Young Chan","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Coloproctology Yang Hospital 933, Gyeongchun\u2010ro 12234 Namyangju\u2010si Gyeonggi\u2010do Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong Taek","family":"Ko","sequence":"additional","affiliation":[{"name":"Department of Coloproctology Yang Hospital 933, Gyeongchun\u2010ro 12234 Namyangju\u2010si Gyeonggi\u2010do Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Byung Eun","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Coloproctology Yang Hospital 933, Gyeongchun\u2010ro 12234 Namyangju\u2010si Gyeonggi\u2010do Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyung Kyu","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Coloproctology Seoul Yang Hospital Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,5,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03006355"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237126"},{"key":"e_1_2_8_4_1","volume-title":"Contribution a l\u2019etude du Prolapsus du Rectum","author":"Thiersch CA","year":"1943"},{"key":"e_1_2_8_5_1","first-page":"687","volume-title":"Surgery of the anus, rectum and colon","author":"Keighley 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