{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T17:28:35Z","timestamp":1761154115843},"reference-count":0,"publisher":"Surgical Technology Online","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg Technol Int."],"published-print":{"date-parts":[[2023,12,29]]},"abstract":"<jats:p>Fecal incontinence is a distressing condition characterized by the involuntary loss of solid and liquid stool and gas, It affects a significant proportion of the general population, with a reported prevalence ranging from 1% to 20%. Despite its considerable impact on quality of life, therapeutic options for fecal incontinence remain limited. Current treatment modalities for fecal incontinence include conservative approaches such as dietary modifications, pelvic floor exercises, and pharmacotherapy. Surgical interventions, including sphincteroplasty or sacral nerve stimulation, may be considered in more severe cases.  Recently, THD Labs (THD S.p.A. Correggio (RE), Italy) introduced the Gatekeeper\u00ae as a novel device that supports the implantation of up to four solid prostheses into the intersphincteric groove. Early data were promising, with success rates above 50% and only a few perioperative complications. Subsequently, Gatekeeper\u00ae was modified by increasing the length and number (up to 10) of prostheses, and renamed Sphinkeeper\u00ae (THD). With this device, nine to 10 small incisions measuring 2 mm are made at a distance of 2-3 cm from the anus. The intersphincteric space is accessed using the delivery system, and positioning is verified through endoanal ultrasound. This procedure is repeated for all 10 prostheses placed around the entire circumference. The Sphinkeeper\u00ae offers the potential to improve the management of fecal incontinence, and offers patients a less-invasive alternative to traditional surgical approaches.<\/jats:p>","DOI":"10.52198\/23.sti.43.gs1712","type":"journal-article","created":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T17:50:10Z","timestamp":1706205010000},"source":"Crossref","is-referenced-by-count":2,"title":["Surgical Technique for Sphinkeeper\u00ae Implantation"],"prefix":"10.52198","volume":"43","author":[{"name":"Department of General Surgery, Division of Visceral Surgery, Medical University Vienna, Austria","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Dawoud","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moritz Daniel","family":"Felsenreich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of General Surgery, Division of Visceral Surgery, Medical University Vienna, Austria","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Harpain","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of General Surgery, Division of Visceral Surgery, Medical University Vienna, Austria","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Riss","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Department of General Surgery, Division of Visceral Surgery, Medical University Vienna, Austria","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"18996","container-title":["Surgical Technology Online"],"original-title":[],"deposited":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T17:50:19Z","timestamp":1706205019000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicaltechnology.com\/43-General-Surgery.htm#1712"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,29]]},"references-count":0,"URL":"https:\/\/doi.org\/10.52198\/23.sti.43.gs1712","relation":{},"ISSN":["1090-3941","1090-3941"],"issn-type":[{"type":"print","value":"1090-3941"},{"type":"electronic","value":"1090-3941"}],"subject":[],"published":{"date-parts":[[2023,12,29]]}}}