Tratamiento quirúrgico de la incontinencia anal, a propósito de un caso
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Rev. Inv. Inf. Sal.
Abstract
La incontinencia anal es la incapacidad de diferir el acto evacuatorio impidiendo el control voluntario del vaciado rectal y provocando la salida involuntaria de materia fecal y gases; la lesión del esfínter anal de origen obstétrico es reconocida como la causa más común de incontinencia anal en mujeres sanas; además otros múltiples factores se encuentran relacionados con la patología como ser: traumáticos o quirúrgicos, lesión nerviosa, injuria medular, trastornos mentales y alteraciones en la consistencia de la materia fecal. Presentamos el caso de una paciente de 37 años de edad, que fue atendida en el Hospital Obrero Nro. 2 de la Caja Nacional de Salud Cochabamba, Bolivia, quien hace 12 años cursó con un trabajo de parto complicado causando lesión de los esfínteres anales tanto interno como externo siendo este suceso la causa de una incontinencia fecal, con la que la paciente tuvo que lidiar desde entonces sin lograr retener heces ni gases, afectando su calidad de vida. Como tratamiento se optó por abordaje quirúrgico en dos ocasiones siendo la segunda intervención la definitiva y con la cual se dio una solución al cuadro clínico.
Anal incontinence is the inability to defer the evacuatory act, preventing voluntary control of rectal emptying and causing the involuntary discharge of fecal matter and gases; anal sphincter injury of obstetric origin is recognized as the most common cause of anal incontinence in healthy women; In addition, multiple other factors related to the pathology can be identified, such as trauma, surgery, nerve injury, spinal cord injury, mental disorders, and changes in the consistency of fecal matter. We present the case of a 37-year-old patient who was treated at the Hospital Obrero No. 2 of the National Health Fund in Cochabamba, Bolivia, for which she had anal incontinence for 12 years without being able to retain feces or gas. after a trauma to the internal and external anal sphincter, due to a complicated labor, which was addressed through surgery on two occasions, the second intervention being the definitive one and with which her condition was solved.
Anal incontinence is the inability to defer the evacuatory act, preventing voluntary control of rectal emptying and causing the involuntary discharge of fecal matter and gases; anal sphincter injury of obstetric origin is recognized as the most common cause of anal incontinence in healthy women; In addition, multiple other factors related to the pathology can be identified, such as trauma, surgery, nerve injury, spinal cord injury, mental disorders, and changes in the consistency of fecal matter. We present the case of a 37-year-old patient who was treated at the Hospital Obrero No. 2 of the National Health Fund in Cochabamba, Bolivia, for which she had anal incontinence for 12 years without being able to retain feces or gas. after a trauma to the internal and external anal sphincter, due to a complicated labor, which was addressed through surgery on two occasions, the second intervention being the definitive one and with which her condition was solved.
Description
Vol. 19, No. 45