ArticleAnnals of coloproctology2019
Effectiveness of Autologous Fat Graft in Treating Fecal Incontinence.
Article in Annals of coloproctology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 11 citations in OpenAlex.
- Efficacy of injection of autologous adipose tissue in the treatment of patients with complex and recurrent fistula-in-ano of cryptoglandular origin.Techniques in coloproctology · 2024Trial
- Regenerative Approach With Autologous Fat Grafting and Stem Cells for the Treatment of Post-Traumatic Anal Incontinence: A Case Report.Clinical case reports · 2026Article
- Cell-assisted lipotransfer in treating uncontrollable sepsis associated perianal fistula: a pilot study.Annals of coloproctology · 2024Article
- Role of Autologous Fat Grafting in the Conservative Treatment of Fecal Incontinence in Children.Journal of clinical medicine · 2023Article
- Preliminary Study on the Echo-Assisted Intersphincteric Autologous Microfragmented Adipose Tissue Injection to Control Fecal Incontinence in Children Operated for Anorectal Malformations.Children (Basel, Switzerland) · 2020Article
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe most common risk factor for fecal incontinence (FI) is obstetric injury. FI affects 1.4%-18% of adults. Most patients are unaware when they are young, when symptoms appear suddenly and worsen with aging. Autologous fat graft is widely used in cosmetic surgical field and may substitute for injectable bulky agents in treating FI. Authors have done fat graft for past several years. This article reports the effectiveness of the fat graft in treating FI and discusses satisfaction with the procedure.
methodsFat was harvested from both lateral thighs using 10-mL Luer-loc syringe. Pure fat was extracted from harvests and mixed with fat, oil, and tumescent through refinement. Fats were injected into upper border of posterior ano-rectal ring, submucosa of anal canal and intersphincteric space. Thirty-five patients with FI were treated with this method from July 2016 to February 2017 in Busan Hangun Hospital. They were 13 male (mean age, 60.8 years) and 22 female patients (mean age, 63.3 years). The Wexner score was checked before procedure. We evaluated outcome in outpatients by asking the patients. For 19 patients we checked the Wexner score after procedure.
resultsSymptom improved in 29 (82.9%), and not improved in 6 (17.1%). In 2 of 6 patients, they felt better than before procedure, although not satisfied. No improvement in 4. Mean Wexner score was 9.7 before procedure. There were no serious complications such as inflammation or fat embolism.
conclusionAutologous fat graft can be an effective alternative treatment for FI. It is safe and easy to perform, and cost effective.
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