Description of Event or Problem · 1
JOURNAL REFERENCE: DUDDING TC, MENG LE, FAIZ O, ET AL. ECONOMIC EVALUATION OF SACRAL NERVE STIMULATION FOR FECAL INCONTINENCE. BR J SURG. 2008;95(9):1155-1163. SACRAL NERVE STIMULATION (SNS) IS AN ESTABLISHED TREATMENT FOR FECAL INCONTINENCE IN PATIENTS WHO HAVE FAILED CONSERVATIVE MANAGEMENT. THIS STUDY ESTABLISHED THE COST- EFFECTIVENESS OF TREATING PATIENTS WITH SNS COMPARTED WITH NON-SURGICAL TREATMENT. A COHORT ANALYSIS WAS PERFORMED BASED ON PROSPECTIVELY COLLECTED DATA ON PATIENTS WHO HAD UNDERGONE SNS AT A SINGLE INSTITUTION BETWEEN 1996 AND 2006. DATA WAS AVAILABLE ON A TOTAL PATIENTS. SYMPTOMS OF FECAL INCONTINENCE HAD BEEN PRESENT FOR A MEDIAN OF 7 (RANGE 2/24) YEARS BEFORE SURGERY AND ALL PATIENTS HAD FAILED TO BENEFIT FROM PREVIOUS CONSERVATIVE TREATMENTS. THIS STUDY HAD DEMONSTRATED THAT SNS IS A COST- EFFECTIVE TREATMENT. REPORTABLE EVENT: ONE PATIENT DEVELOPED A POSTOPERATIVE WOUND INFECTION WITH WAS TREATED WITH ORAL ANTIBIOTIC THERAPY AS AN OUTPATIENT, WITH SUCCESSFUL ERADICATION OF THE SEPSIS.