“Imola-Montecatone” subtotal colectomy to improve bowel management in spinal cord injury patients. Retrospective analysis in 19 cases

Spinal Cord Series and Cases, 2020 · DOI: https://doi.org/10.1038/s41394-020-0311-8 · Published: June 26, 2020

Spinal Cord Injury Surgery Gastroenterology

Simple Explanation

Individuals with spinal cord injuries often experience neurogenic bowel dysfunction, leading to issues like constipation and incontinence. This can significantly decrease their quality of life. Conservative treatments are typically used, but if these fail, a colostomy might be considered. This study explores a specific surgical procedure to improve bowel management in these patients. The 'Imola-Montecatone' technique involves a subtotal colectomy and placement of a bioabsorbable prosthesis to prevent hernias. The study suggests this procedure can effectively improve bowel management in SCI patients.

Study Duration

2016 to 2019

Participants

19 individuals with SCI and bowel dysfunction

Evidence Level

Retrospective single-center study

Key Findings

1
The study of 19 individuals undergoing the 'Imola-Montecatone' procedure reported no major complications after one year of follow-up.
2
Minor complications observed included dehiscence of the abdominal incision and leakage of mucorrhoea, which were managed during the hospital stay.
3
Preliminary results indicated a high degree of patient satisfaction and improved quality of life following the surgical procedure.

Research Summary

This retrospective study evaluated the effectiveness of the 'Imola-Montecatone' subtotal colectomy technique in improving bowel management for SCI patients with neurogenic bowel dysfunction. The procedure involves subtotal colectomy with placement of a bioabsorbable prosthesis to prevent parastomal hernia. Results from 19 patients showed few minor complications and high patient satisfaction. The study suggests the technique can be an effective option when conservative treatments fail, improving quality of life and autonomy for individuals with SCI-related bowel issues.

Practical Implications

Improved Bowel Management

The 'Imola-Montecatone' technique offers a surgical option to enhance bowel management in SCI patients when conservative treatments are ineffective.

Reduced Complications

The use of a bioabsorbable prosthesis can reduce the risk of parastomal hernias, a common complication associated with colostomies.

Enhanced Quality of Life

The procedure has the potential to improve patient satisfaction, increase autonomy, and reduce the burden of bowel care for individuals with SCI.

Study Limitations

1
Retrospective single-center study design
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Small sample size of 19 participants
3
Further studies are necessary to confirm results and assess long-term outcomes

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