Efficacy of Pelvic Rehabilitation in the Person with Fecal Incontinence after colorectal surgery
DOI:
https://doi.org/10.48492/servir0205.29751Keywords:
Fecal incontinence, Pelvic Floor, Colorectal Surgery, Efficacy of RehabilitationAbstract
Introduction: Fecal incontinence (FI) has deleterious effects on patients, resulting in discomfort, anxiety, embarrassment and profound changes in their quality of life. There is tenuous evidence that these effects can be mitigated with the implementation of pelvic rehabilitation programs.
Objective: To evaluate the effectiveness of implementing pelvic rehabilitation programs in people with fecal incontinence after colorectal surgery.
Methods: A systematic review of the literature was carried out. The selection of scientific articles was carried out using the EBSCOhost computer platform, using the databases: PubMed, CINAHL, MedicLatina, Complementary Index and ScienceDirect, with a publication date between 2010-2019. The studies were analyzed and critically evaluated by two reviewers independently, respecting the inclusion and exclusion criteria previously established, with the corpus of the study consisting of 4 articles, of proven methodological quality.
Results: It was found that there are significant improvements in the reduction of fecal incontinence after the implementation of pelvic rehabilitation programs. Biofeedback proved to be a very safe and effective method in the treatment of patients with this pathology. Evidence also points to non-pharmacological treatments that include biofeedback programs, combined with pelvic floor muscle training and anal electrostimulation (multimodal programs) relevant in improving FI.
Conclusion: There is indeed effectiveness in pelvic rehabilitation programs for people with fecal incontinence after colorectal surgery, with emphasis on the use of biofeedback and multimodal programs. There is also a need for rehabilitation nurses to develop structured intervention programs that optimize the quality of life of these patients.
Downloads
References
Boyer O, Bridoux V. Déhayes J, Le Corre S, Jacquot S, Bastit D, Martinet J, Houivet E, Tuech JJ, Benichou J, Michot F; the Study Group of Myoblast Therapy for Faecal Incontinence. Autologous Myoblasts for the Treatment of Fecal Incontinence: Results of a Phase 2 Randomized Placebo-controlled Study (MIAS). Ann Surg. 2018 Mar;267(3):443-450. doi: 10.1097/SLA.0000000000002268. PMID: 28426476; PMCID: PMC5805121
Duelund-Jakobsen, J., Worsoe, J., Lundby, L., Christensen, P., & Krogh, K. (2016). Management of patients with faecal incontinence. Ther Adv Gastroenterol, Vol. 9(1), 86–97. doi: 10.1177/ 1756283X15614516
Guinane, J., & Crone, R. (2018). Management of faecal incontinence in residential aged care. The Royal Australian College of General Practitioners; vol. 47, 1-2, 40-42. doi: 10.31128/AFP-08-17-4301
International Continence Society. Bo, K., Frawley, HC, Haylen, BT et al. Um relatório conjunto da Associação Internacional de Uroginecologia (IUGA)/Sociedade Internacional de Continência (ICS) sobre a terminologia para o manejo conservador e não farmacológico da disfunção do assoalho pélvico feminino. Int Urogynecol J 28 , 191–213 (2017). https://doi.org/10.1007/s00192-016-3123-4
Jelovsek, J.E., Markland, A.D., Whitehead, W.E., Barber, M.D. et al. (2019). Controlling faecal incontinence in women by performing anal exercises with biofeedback or loperamide: a randomised clinical trial. The Lancet; vol. 4, 9, 698-710. DOI:https://doi.org/10.1016/S2468-1253(19)30193-1
Joanna Briggs Institute. (2020). JBI Manual for Evidence Synthesis. Aromataris E, Munn. https://doi.org/10.1016/j.jclinepi.2022.04.00
Torre, FL, & Coletta, D. (2018). Incontinência Fecal. Doenças Proctológicas na Prática Cirúrgica. doi: 10.5772/intechopen.77393
Limão, R. P., & Martins, R. M. (2021). Efetividade de programas de enfermagem de reabilitação no equilíbrio, marcha e independência funcional em idosos hospitalizados. Revista de Enfermagem. Referência, 5(8), e20205. https://doi.org/10.12707/RV20205
Lin, K.Y., Denehy, L., Granger, C.L., & Frawley, H.C. (2019). Pelvic floor outcomes in patients who have undergone general rehabilitation following surgery for colorectal cancer: A pilot study. Physiother Theory Pract.; 35(3), 206-218. doi: 10.1080/09593985.2018.1443184.
Lopez, J. P., Orgaz, A. C., Martín J. L. M., (2017). Revisión: Incontinência Fecal. Revista Acircal, 4, 2, 12-38. http://www.acircal.net/revista/files/10/02_Revision_IF_HULP.PDF
Martins, R., Fernandes, J., Martins, S., Carvalho, N., Batista, S. (2021). Efficacy of cardiac rehabilitation on the quality of life of people: Integrative literature review. Servir, 2(1), 83-93. DOI: https://doi.org/10.48492/servir0201.25859
Menees, S. B., Almario, C. V., Spiegel, B. M. R., & Chey, W. D. (2018). Prevalence of and Factors Associated With Fecal Incontinence: Results From a Population-Based Survey. Gastroenterology, 154(6), 1672–1681.e3. https://doi.org/10.1053/j.gastro.2018.01.062
Morales-Soriano, R., Esteve-Pérez, N., Segura-Sampedro, J. J., Cascales-Campos, P., Barrios, P., & Spanish Group of Peritoneal Malignancy Surface (GECOP) (2018). Current practice in cytoreductive surgery and HIPEC for metastatic peritoneal disease: Spanish multicentric survey. European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology, 44(2), 228–236. https://doi.org/10.1016/j.ejso.2017.11.012
Murad-Regadas, S.M., Caetano A.C., Gonçalves B., Cajazeiras-Oliveira, M.T.C., Duarte, V.C., & Rolanda C. (2013). Biofeedback no tratamento clínico da incontinência fecal. Que fatores interferem nos resultados? Revista Portuguesa de Coloproctologia, 18, P01. https://pesquisa.bvsalud.org/portal/resource/pt/lil-205039.
Murad-Regadas, S.M., Regadas, F.S.P., Regadas Filho, F.S.P. et al. (2019). Predictors of unsuccessful of treatment for fecal incontinence biofeedback for fecal incontinence in female. Arq Gastroenterol.; 56(1), 61-65. doi: 10.1590/S0004-2803.201900000-17.
Nuernberg, D., Saftoiu, A., Barreiros, A. P., Burmester, E., Ivan, E. T., Clevert, D. A., Dietrich, C. F., Gilja, O. H., Lorentzen, T., Maconi, G., Mihmanli, I., Nolsoe, C. P., Pfeffer, F., Rafaelsen, S. R., Sparchez, Z., Vilmann, P., & Waage, J. E. R. (2019). EFSUMB Recommendations for Gastrointestinal Ultrasound Part 3: Endorectal, Endoanal and Perineal Ultrasound. Ultrasound international open, 5(1), E34–E51. https://doi.org/10.1055/a-0825-6708
Ordem dos Enfermeiros. (2016). Enfermagem de Reabilitação - Instrumentos de recolha de dados para a documentação dos Cuidados Especializados em Enfermagem de Reabilitação https://www.ordemenfermeiros.pt/arquivo/colegios/Documents/2017/InstRecolhaDadosDocumentacaoCuidEnfReabilitacao_Final_2017.pdf
Townsend, M. K., Matthews, C. A., Whitehead, W. E., & Grodstein, F. (2018). Risk factors for fecal incontinence in older women. The American journal of gastroenterology, 108(1), 113–119. https://doi.org/10.1038/ajg.2012.364
Paquette, I. M., Varma, M. G., Kaiser, A. M., Steele, S. R., & Rafferty, J. F. (2015). The American Society of Colon and Rectal Surgeons' Clinical Practice Guideline for the Treatment of Fecal Incontinence. Diseases of the colon and rectum, 58(7), 623–636. https://doi.org/10.1097/DCR.0000000000000397
Parker, C. H., Henry, S., & Liu, L. W. C. (2019). Efficacy of Biofeedback Therapy in Clinical Practice for the Management of Chronic Constipation and Fecal Incontinence. Journal of the Canadian Association of Gastroenterology, 2(3), 126–131. https://doi.org/10.1093/jcag/gwy036
Pucciani, F., Ringressi, M. N., Redditi, S., Masi, A., & Giani, I. (2008). Rehabilitation of fecal incontinence after sphincter-saving surgery for rectal cancer: encouraging results. Diseases of the colon and rectum, 51(10), 1552–1558. https://doi.org/10.1007/s10350-008-9312-6
Redol, F., Rocha, C. (2016). Avaliação da Função Eliminação. In Cristina Marques-Vieira, Luís Sousa, Cuidados de Enfermagem de Reabilitação à Pessoa ao Longo da Vida (pp. 189-202) Loures: Lusodidacta. https://www.lusodidacta.pt/enfermagem/323-cuidados-de-enfermagem-de-reabilitacao-a-pessoa-ao-longo-da-vida
Van der Wilt, A. A., Giuliani, G., Kubis, C., van Wunnik, B. P. W., Ferreira, I., Breukink, S. O., Lehur, P. A., La Torre, F., & Baeten, C. G. M. I. (2017). Randomized clinical trial of percutaneous tibial nerve stimulation versus sham electrical stimulation in patients with faecal incontinence. The British journal of surgery, 104(9), 1167–1176. https://doi.org/10.1002/bjs.10590
Winkelman, W. D., Demtchouk, V. O., Brecher, L. G., Erlinger, A. P., Modest, A. M., & Rosenblatt, P. L. (2021). Long-term Fecal Incontinence, Recurrence, Satisfaction, and Regret After the Transobturator Postanal Sling Procedure. Female pelvic medicine & reconstructive surgery, 27(4), 244–248. https://doi.org/10.1097/SPV.0000000000000769
Young, C. J., Zahid, A., Koh, C. E., Young, J. M., Byrne, C. M., Solomon, M. J., Rex, J., & Candido, J. (2018). A randomized controlled trial of four different regimes of biofeedback programme in the treatment of faecal incontinence. Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 20(4), 312–320. https://doi.org/10.1111/codi.13932
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 rosa maria lopes martins
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution 4.0 International License.
In order to promote the free circulation of knowledge, Servir is open access journal. All its content is available and protected under the Creative Commons license (CC BY 4.0).
The journal allows self-archiving in institutional repositories of all versions, which may become immediately available