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• W2418456871 abstract "Abstract Introduction A new artificial anal sphincter, SphinKeeper TM , was devised with the aim to treat fecal incontinence (FI) by implanting specifically designed self-expandable prostheses into the intersphincteric space. Preliminary data concerning the procedure feasibility and prosthesis localization at 3 months are presented. Methods SphinKeeper TM prostheses in the native state are dehydrated, thin, solid cylinder (length 29 mm, diameter 3 mm), changing their state (shorter—length 23 mm, thicker—diameter 7 mm—and softer, with shape memory) within 48 h of contact with fluids. In this study, 10 prostheses were implanted in each patient with FI under local anesthesia and under endoanal ultrasound (EAUS) guidance, into the upper-middle intersphincteric space of the anal canal by a specifically designed delivery system. EAUS was used postoperatively to assess prostheses dislocation. Results Ten patients (5 females; median age 58 years, range 20–75) were enrolled and treated with SphinKeeper TM implantation. Median duration of procedure (performed by endoanal ultrasound guidance) was 40 min (range 30–45). Neither intraoperative nor postoperative complications were reported after a 3-month follow-up. In one patient, a partial dislocation of a single prosthesis was documented by EAUS, causing anal discomfort which resolved after 1 week. Conclusion SphinKeeper TM can be safely implanted in patients with FI of different etiology. Implantation was well tolerated with no dislodgment of implants at 3-month follow-up." @default.
• W2418456871 created "2016-06-24" @default.
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• W2418456871 date "2015-12-12" @default.
• W2418456871 modified "2023-09-30" @default.
• W2418456871 title "Implantation of SphinKeeperTM: a new artificial anal sphincter" @default.
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• W2418456871 doi "https://doi.org/10.1007/s10151-015-1396-0" @default.
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