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April 1964

Fecal Incontinence Caused by Lacerations of Perineum: Delayed Repair

Author Affiliations

Fellow in Surgery, Mayo Foundation (Dr. Manning), Section of Surgery and Section of Obstetrics and Gynecology (Dr. Pratt), Mayo Clinic and Mayo Foundation.

Arch Surg. 1964;88(4):569-576. doi:10.1001/archsurg.1964.01310220059010

Loss of fecal continence may vary widely from minimal loss that consists of loss of flatus only to complete loss of control of all gas, liquids, and solids. The main purpose of this paper is to present a technique for the delayed repair of third-degree lacerations of the perineum and to evaluate the treatment for fecal incontinence caused by such lacerations in a series of patients seen at the Mayo Clinic from 1940 through 1958.

Causes of Fecal Incontinence  Fecal incontinence may result from damage to the second, third, and fourth sacral segments of the spinal cord or to the nerve roots from these segments. Other causes are extensive infections of the perirectal and perianal tissues, fecal impaction, senility, prolonged packing after fistulectomy, malignant lesions, rectal prolapse, violent trauma to the anus and rectum, injuries to the levator sling and perineum during labor, and operations on the anorectal region.1

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