Fecal incontinence as consequence of anorectal surgeries and the physiotherapeutic approach

• Autor(a) principal: Cortez,Kelly Cristina Duque
• Data de Publicação: 2011
• Outros Autores: Mendonça,Sarah de Souza, Figueiroa,Marina de Souza
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Journal of Coloproctology (Rio de Janeiro. Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S2237-93632011000300004
• topic: colorectal surgery; postoperative complications; fecal incontinence; physiotherapy; prevention

Caused by sphincter injuries in various anorectal procedures, fecal incontinence (FI) is a common complication in some patients undergoing coloproctology surgeries. Objective: Demonstrate the occurrence of FI as a result of anorectal surgeries, present the physiotherapy resources for the treatment of this disorder and, based on that, propose the inclusion of physiotherapy as a routine postoperative practice for these types of interventions. Materials and Methods: An integrative review of databases from the virtual health library (VHL) and the Physiotherapy Evidence Database (PEDro) published between 2000 and 2010, in English and Portuguese. Results: Thirteen articles (one cross-section cohort, two uncontrolled clinical trials and ten retrospective cohorts), with evidence level between 2C and 4C and published between 2001 and 2009, were selected; review articles were excluded. The review demonstrated that FI is an important complication of anorectal surgeries, causing major impacts on the patients' quality of life and that physiotherapy provides effective resources to treat this disorder. Conclusion: Further studies are recommended, in the form of systematic reviews, using a higher number of articles and better scientific evidences.