SECCA procedure for anal incontinence and antibiotic treatment: a case report of anal abscess

Abstract Background Fecal Incontinence (FI) can seriously affect quality of life. The treatment of fecal incontinence starts conservatively but in case of failure, different surgical approaches may be proposed to the patient. Recently several not invasive approaches have been developed. One of these...

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Main Authors: Francesca Mandolfino, Rosario Fornaro, Cesare Stabilini, Marco Casaccia, Tommaso Testa, Marco Frascio
Format: Article
Language:English
Published: BMC 2018-08-01
Series:BMC Surgery
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12893-018-0389-0
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author Francesca Mandolfino
Rosario Fornaro
Cesare Stabilini
Marco Casaccia
Tommaso Testa
Marco Frascio
author_facet Francesca Mandolfino
Rosario Fornaro
Cesare Stabilini
Marco Casaccia
Tommaso Testa
Marco Frascio
author_sort Francesca Mandolfino
collection DOAJ
description Abstract Background Fecal Incontinence (FI) can seriously affect quality of life. The treatment of fecal incontinence starts conservatively but in case of failure, different surgical approaches may be proposed to the patient. Recently several not invasive approaches have been developed. One of these is the radiofrequency (RF) energy application to the internal anal sphincter. Case presentation We report a rare case of an anal abscess related to a SECCA procedure in a 66-year-old woman affected by gas and FI for twenty years. Conclusions The complications post-SECCA procedure reported in literature are generally not serious and often self-limited, such as bleeding or anal pain. This is a case of an anal abscess. We suggest that this finding could consolidate the importance of administering antibiotic therapy to patients and to run a full course of at least 6 days rather than a short-term (24 h) therapy, with the aim to minimize the incidence of this complication.
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spelling doaj.art-435e269e9eb2439c9ca43dc89cb06efe2022-12-21T19:45:09ZengBMCBMC Surgery1471-24822018-08-011811510.1186/s12893-018-0389-0SECCA procedure for anal incontinence and antibiotic treatment: a case report of anal abscessFrancesca Mandolfino0Rosario Fornaro1Cesare Stabilini2Marco Casaccia3Tommaso Testa4Marco Frascio5Dipartimento di Scienze Chirurgiche e Diagnostiche Integrate (DISC), Università degli Studi di GenovaDipartimento di Scienze Chirurgiche e Diagnostiche Integrate (DISC), Università degli Studi di GenovaDipartimento di Scienze Chirurgiche e Diagnostiche Integrate (DISC), Università degli Studi di GenovaDipartimento di Scienze Chirurgiche e Diagnostiche Integrate (DISC), Università degli Studi di GenovaIRCCS Azienda Ospedaliera Universitaria Policlinico San Martino–ISTDipartimento di Scienze Chirurgiche e Diagnostiche Integrate (DISC), Università degli Studi di GenovaAbstract Background Fecal Incontinence (FI) can seriously affect quality of life. The treatment of fecal incontinence starts conservatively but in case of failure, different surgical approaches may be proposed to the patient. Recently several not invasive approaches have been developed. One of these is the radiofrequency (RF) energy application to the internal anal sphincter. Case presentation We report a rare case of an anal abscess related to a SECCA procedure in a 66-year-old woman affected by gas and FI for twenty years. Conclusions The complications post-SECCA procedure reported in literature are generally not serious and often self-limited, such as bleeding or anal pain. This is a case of an anal abscess. We suggest that this finding could consolidate the importance of administering antibiotic therapy to patients and to run a full course of at least 6 days rather than a short-term (24 h) therapy, with the aim to minimize the incidence of this complication.http://link.springer.com/article/10.1186/s12893-018-0389-0SECCA procedureFecal incontinenceAnal abscessAntibiotic treatmentRadiofrequency complication
spellingShingle Francesca Mandolfino
Rosario Fornaro
Cesare Stabilini
Marco Casaccia
Tommaso Testa
Marco Frascio
SECCA procedure for anal incontinence and antibiotic treatment: a case report of anal abscess
BMC Surgery
SECCA procedure
Fecal incontinence
Anal abscess
Antibiotic treatment
Radiofrequency complication
title SECCA procedure for anal incontinence and antibiotic treatment: a case report of anal abscess
title_full SECCA procedure for anal incontinence and antibiotic treatment: a case report of anal abscess
title_fullStr SECCA procedure for anal incontinence and antibiotic treatment: a case report of anal abscess
title_full_unstemmed SECCA procedure for anal incontinence and antibiotic treatment: a case report of anal abscess
title_short SECCA procedure for anal incontinence and antibiotic treatment: a case report of anal abscess
title_sort secca procedure for anal incontinence and antibiotic treatment a case report of anal abscess
topic SECCA procedure
Fecal incontinence
Anal abscess
Antibiotic treatment
Radiofrequency complication
url http://link.springer.com/article/10.1186/s12893-018-0389-0
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AT cesarestabilini seccaprocedureforanalincontinenceandantibiotictreatmentacasereportofanalabscess
AT marcocasaccia seccaprocedureforanalincontinenceandantibiotictreatmentacasereportofanalabscess
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