{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T17:46:13Z","timestamp":1710870373464},"reference-count":26,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2012,6,8]],"date-time":"2012-06-08T00:00:00Z","timestamp":1339113600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim\u2002<\/jats:bold> Long\u2010term results of the overlapping sphincter repair (OSR) have been disappointing, attributed to poor tissue quality that deteriorates with time. Biological grafts enforce tissues. The aim was to compare functional outcome and quality of life at 1\u2003year with and without Permacol\u00ae reinforcement to evaluate short\u2010term benefit.<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> From November 2007 to November 2008, women undergoing OSR using Permacol (group 1, <jats:italic>n\u2003=\u2003<\/jats:italic>10) under institutional review board approval (safety trial) were age matched with patients from an institutional review board approved database (group 2, <jats:italic>n\u2003=\u2003<\/jats:italic>10) who underwent the traditional OSR. Permacol mesh was placed under the two overlapped muscles. Group 2 underwent traditional repair. Preoperative and postoperative management of the groups was similar. The Fecal Incontinence Severity Index (FISI), the Cleveland Clinic Incontinence Score (CCFIS) and the Fecal Incontinence Quality of Life (FIQL) scale were used preoperatively and 1\u2003year post\u2010surgery.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> No significant differences in demographics, symptom duration, number of vaginal deliveries, comorbidities and symptom severity were noted. Group 2 underwent concomitant procedures. Group 1 reported no complications. Group 2 reported urinary retention and dehiscence. A significant difference was found in preoperative and postoperative FIQL subscales of coping\/behaviour between groups. However, comparing the pre and post scores, significant improvements on FISI (<jats:italic>P<\/jats:italic>\u2003=\u20030.02), the CCFIS (<jats:italic>P<\/jats:italic>\u2003=\u20030.005) and two subscales of FIQL (coping\/behaviour, <jats:italic>P<\/jats:italic>\u2003=\u20030.02, and embarrassment, <jats:italic>P<\/jats:italic>\u2003=\u20030.01) were found in group 1. Patient satisfaction was higher in group 1.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> Biologic tissue enhancers (Permacol) do not add morbidity. Sphincter augmentation results in significant improvement in continence and quality of life scores compared with the preoperative scores in the short term over traditional repair. Long\u2010term studies are needed to determine if this effect is sustained.<\/jats:p>","DOI":"10.1111\/j.1463-1318.2011.02808.x","type":"journal-article","created":{"date-parts":[[2011,9,5]],"date-time":"2011-09-05T17:28:31Z","timestamp":1315243711000},"page":"866-871","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Biological implants in sphincter augmentation offer a good short\u2010term outcome after a sphincter 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