Dr. Domingo E. Galliano Jr.,

Dr. Domingo E. Galliano Jr.,


Dr. Galliano is the most experienced Board Certified Colorectal Surgeon with Da Vinci Robotic Surgery in Lee, Charlotte, Sarasota, and De Soto Counties. He has performed over 1600 DaVinci Robotic procedures!

General Surgery

Board Certified by
the American Board of Surgery

Colon and Rectal Surgery

Board Certified by the The American Board of Colon and Renal Surgery (ABCRS)

Surgical Critical Care

Board Certified by The American Board of Surgery


Murdock Surgical Center

Fawcett Memorial Hospital

Bayfront Health

Dr. Galliano is Medical Director of Bayfront Health's Colorectal Center of Excellence.

Why is it important you choose a Board Certified Surgeon?

A surgeon certified in general surgery by the American Board of Surgery has training, knowledge and experience related to the diagnosis and comprehensive management of surgical conditions.

Read more about Board Certified Surgeons

SECCA Procedure for Anal Incontinence

SECCA Therapy is an innovative treatment option for patients suffering from FI. SECCA does not utilize implants, incisions or stitches and takes approximately 45 minutes. SECCA is performed in an outpatient setting.

SECCA is for patients who have failed to respond to first line therapies, who are not surgical candidates, or do not want to undergo invasive surgery or a foreign body implantation.

How SECCA Works

How Secca Works

1. Energy is delivered to the tissue of the anal canal

2. Multiple small tissue contractions are formed

3. Anal sphincter function is significantly restored

Colon & Rectal surgeons are the primary physicians who treat FI. After diagnosis and screening your doctor will be able to recommend various treatments that should be attempted first such as fiber supplements, medication or biofeedback.

Most SECCA patients start to see an improvement in 4 to 6 weeks; however, for some people the improvement may take as much as 6 months to be noticeable. SECCA patients may have some discomfort for up to a week, but generally return to their normal activities within 1-2 days.

SECCA Technology

The SECCA procedure utilizes radiofrequency energy (RF), an energy waveform which is used in many medical specialties for coagulating or treating tissues. Human tissue responds to the warming effect of RF by contracting. A portion of the contraction takes place immediately, while the remainder takes place over the ensuing 6-12 months as the body heals.

RF is used by cardiologists to stop dangerous heart rhythms. Urologists use RF for treating prostate enlargement in males (which causes difficulty passing urine). Ear, nose, and throat specialists use RF to eliminate snoring and sleep apnea (stopping breathing during sleep).

General surgeons use RF to cut and coagulate tissue. RF has been used in surgery for nearly 100 years. The SECCA procedure was cleared by the FDA for the treatment of Fecal Incontinence (FI) in 2002, and uses RF to tighten the muscles in the anal canal, thus improving function.

Bowel Control

The loss of control of bowel movements or gas is known as fecal incontinence. This condition is reasonably common, particularly in women who have had children. Studies have demonstrated that at least 30% of women will sustain damage to the anal sphincter muscles during childbirth. However, symptoms of loss of bowel control may not become clinically evident for decades.

The cause of loss of bowel control may include disorders of the colon and rectum, the anus, and/or the pelvic floor. Treatment depends on the cause and severity of incontinence. It may include medication, dietary changes, biofeedback and exercise programs to strengthen anal and pelvic muscles, or surgery.

In addition to these options, we now offer theSECCA procedure. Secca is an option for patients with fecal incontinence who have failed conservative therapies such as fiber supplementation, anti-diarrheal medications, and biofeedback, and are not optimal candidates for surgery due to lack of a discrete sphincter injury.

Studies have demonstrated that 60% to 80% of patients who have undergone the SECCA procedure experience significant improvement with bowel control.

In addition to evaluation of the muscles and nerves of the anus and rectum, we offer the latest therapies available for patients who have failed traditional types of therapy. Alternative therapies include:

  • Artificial Bowel Sphincter
  • Interstim Sacral Nerve Stimulation – in clinical trial
  • Antegrade continence enema procedure

Many patients with problems of bowel control also have an overactive bladder and suffer from loss of urinary control as well. Our specialists will screen for these associated problems and make the appropriate referrals as needed. Our physicians and staff understand the traumatic consequences of having to live with loss of bowel control.

We empathize with this socially debilitating condition, and our goal is to provide options to allow patients to regain control of bowel function. Patient care is individualized, and your doctor will discuss surgical and non-surgical treatment options aimed at improving your quality of life.

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