This open access book describes the latest advances in the anal incontinence diagnostic and therapeutic processes. Anal incontinence is a devastating condition heavily impacting on the patients' lives. Those suffering from this disorder are generally very embarrassed and reluctant to undergo an appropriate clinical evaluation, thus becoming more isolated and worsening the quality of their life. Luckily, nowadays a wide range of treatments is available to improve this oppressive condition; however, the recognition of the related pathophysiological alterations is mandatory to grant its successful management.

This volume will help the surgeons community to keep abreast of developments in diagnostics and treatment of this impairing condition. and will provide all health professionals with the appropriate tools to face this impairing condition.

Explains Anatomy and Mechanism of Anal Continence Enables readers to gain an overview of diagnostic, treatment and rehabilitation This book is open access, which means that everyone has free and unlimited access Updates readers involved in surgery with accessible descriptions of Clinical evaluation & classification of incontinence

Autorentext
Prof. Ludovico Docimo graduated in Medicine at the University of Naples Federico II, where he also specialized in General Surgery. He spent training periods at St. Mark's Hospital for Diseases of the Colon, Rectum and Anus in London, at the Centre Hospitalier Général in Toulon, at the Harvard University-Massachusetts General Hospital in Boston, and at the Jefferson University of Philadelphia. In 2002 he became full professor of General Surgery at the Second University of Naples, now renamed University of Campania L. Vanvitelli. As for his academic roles, he is the Director of the Chair of General Surgery, of the Division of General, Minimally Invasive, Oncologic and Obesity Surgery of the Department of General and Specialty Surgery and of the University Master's Degree in Colon Proctology and Rehabilitation of the Pelvic Floor. He is the author of over 200 scientific papers with an H-index of 23 and over 1300 citations. He is a member of the editorial board of Aggiornamenti in Chirurgia and of Annali Italiani di Chirurgia. President of the Collegio dei Professori Ordinari e Straordinari di Chirurgia Generale, of the Società Italiana dei Chirurghi Universitari, of the Società Napoletana di Chirurgia, and of the Società Italiana di Fisiopatologia Chirurgica, Prof. Docimo has been advisor to the Ministry of Health for Training Events in Surgery. He has performed more than 20,000 operations in general, bariatric, colorectal and abdominal wall surgery.

Prof. Luigi Brusciano graduated in Medicine and specialized in General Surgery, Digestive Surgery and Gestrointestinal Endoscopy. He gained his PhD in Research in Gastrointestinal Biotechnology at the Seconda Università di Napoli, now renamed University of Campania L. Vanvitelli. He worked at St Mark's Hospital & Academic Institute, London, at the Colorectal Surgery Unit in Villa Flaminia, Roma, at Hôpitaux Universitaires de Genève, Département de Chirurgie, Unité de Proctologie, and at St Mary's Hospital, Department of Surgical Oncology & Technology, Imperial College London. Associate Professor of General Surgery at the University of Campania L. Vanvitelli, he is the coordinator of the Center for Pelvic Floor Pathology at the Unit of General Surgery, Minimally Invasive, Bariatric and Oncological Surgery and the scientific coordinator of the 2nd-level Master's in Coloproctology and 1st-level Master's in Diagnostics and Rehabilitation of the Pelvic Floor at the same university. Prof. Brusciano is the author of over 150 scientific publications in national and international journals and of two monographs. He has performed over 1600 procedures in general, minimally invasive and laparoscopic, bariatric and coloproctological surgery. He acts as reviewer for many international journals. laparoscopic, Bariatric and Coloproctological surgery. He acts as reviewer of many international journals.

Klappentext

This open access book describes the latest advances in the anal incontinence diagnostic and therapeutic processes. Anal incontinence is a devastating condition heavily impacting on the patients' lives. Those suffering from this disorder are generally very embarrassed and reluctant to undergo an appropriate clinical evaluation, thus becoming more isolated and worsening the quality of their life. Luckily, nowadays a wide range of treatments is available to improve this oppressive condition; however, the recognition of the related pathophysiological alterations is mandatory to grant its successful management. This volume will help the surgeons community to keep abreast of developments in diagnostics and treatment of this impairing condition. and will provide all health professionals with the appropriate tools to face this impairing condition.

Inhalt

Part 1.- Chapter 1. History of Anal Incontinence and its Treatments.- Chapter 2. Epidemiology, Anorectal Anatomy, Physiology and Pathophysiology of Continence.- Part 2. Diagnostics.- Chapter 3. Clinical Evaluation, Etiology, and Classification of Anal Incontinence.- Chapter 4. Neurofunctional Diagnosis and Anorectal Manometry.- Chapter 5. Role of Ultrasonography for Anal Incontinence.- Chapter 6. Cross-Sectional Imaging in Fecal Incontinence.- Part 3. Treatment.- Chapter 7. Medical Management and Supportive/Hygienic Measures.- Chapter 8. Diet in Fecal Incontinence.- Chapter 9. Role of Pelvic Floor Rehabilitation: Patient Selection and Treatment.- Chapter 10. Sacral and Percutaneous Tibial Nerve Stimulation, Stem Cell Therapy, and Transanal Irrigation Device.- Chapter 11. Sphincter Reconstruction: Dynamic Myoplasty, Artificial Bowel Sphincter, Antegrade Colonic Enemas and Colostomy.- Chapter 12. Surgical Reconstruction of Traumatic Perineal and Sphincter Muscle Defects.- Chapter 13.Injectable Bulking Agents and SECCA Radiofrequency Treatment.- Chapter 14. Implantation of Self-Expandable Solid Prostheses for Anal Incontinence.- Chapter 15. When Everything Fails: Prevention and Therapy of Treatment Failures.- Part 4. Special Situations and Multidisciplinary Perspectives.- Chapter 16. Cesarean Section Delivery to Prevent Anal Incontinence.- Chapter 17. Interrelatedness of Urological Conditions and Anal Incontinence.- Chapter 18. Coexistence of Fecal Incontinence and Constipation.- Chapter 19. Gut Microbiota Characterization in Fecal Incontinence and Irritable Bowel Syndrome.- Chapter 20. Low Anterior Resection Syndrome.- Chapter 21. Incontinence-Associated Dermatitis: an Insidious and Painful Condition.- Chapter 22. Perineal Descent and Incontinence.- Chapter 23. Reconstruction of Wide Anal Sphincter Defects by Crossing Flaps of Puborectalis Muscle.- Chapter 24. Treatment Cost Reimbursement in Italy.