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PTH-257 Our secca experience, the first in the UK
  1. S Elzein,
  2. C Maxwell-Armstrong
  1. General Surgery, Nottingham University Hospitals, Nottingham, UK

Abstract

Introduction Faecal incontinence (FI) is a debilitating condition, limiting the individual’s social interactions and freedom of movement. Because of the embarrassing nature of faecal incontinence symptoms are often hidden.

The management of this condition varies greatly, from a range of conservative measures to surgery. Surgical options have developed over the years, but the general consensus is that it is only used when other options have failed.

SECCA (endoscopic temperature controlled radiofrequency energy) was first introduced for the management of FI in 2002. It was marketed as a bridge between conservative and surgical treatment options.

Method This a retrospective review of 8 patients who have undergone the SECCA procedure at Nottingham Teaching Hospitals for Faecal incontinence. There is no documented review of this procedure in the UK.

All were carried out as a day case procedure.

All data was collected from patients’ notes.

Results 10 patients underwent the SECCA procedure; eight female and 2 male with a median age of 67 years (49–80).

The notes of 2 of these patients could not be located for this review.

3 patients (37.5%) developed early postoperative complications. One rectal bleeding that resolved spontaneously. One elderly lady developed a CVA. One developed diarrhoea post operatively.

There was an improvement in function in 4 of the 8 patients (30%, 25%, 50%, and 75%) at 1, 4, 6 and 13 months follow up respectively at the time of writing this abstract. Three of these patients are not happy with their results.

Conclusion From the review of our patients it appears SECCA is a relatively safe day case procedure that improves function in approximately 50% of cases (100% of cases if considered only at 6 months post procedure).

This review is for a very small number of patients limiting accurate interpretation and generalisation of these findings. Further multicentre observational studies are required.

Disclosure of interest None Declared.

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