Anal spinchter reconstruction
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Because of the excellent vascularization of the muscle, microperforations of the rectal mucosa caused by submucosal dissection were sealed, and implantation of electrodes and a pulse generator in one surgical intervention was well tolerated. Squeeze pressure after gluteoplasty, with or without stimulation, proved to be similar to or higher than that obtained in dynamic graciloplasty. Surgical strategies for fecal incontinence — a decision analysis between dynamic graciloplasty, artificial bowel sphincter and end stoma. There was a problem providing the content you requested Please contact us via our support center for more information and provide the reference number below. PubMed Google Scholar.
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Anterior Anal Sphincter Repair Can Be Of Long Term Benefit
These procedures are technically challenging and carry a distinct probability of morbidity, although there is a significant body of literature that finds an equivalent quality of life for patients with a colostomy versus imperfect anorectal function after reconstructed sphincter preservation. Clinical assessment of a patient's outcome may be inaccurate unless specific questions are asked. Traumatic anal incontinence. Successful surgical reconstruction requires thorough preoperative evaluation, fastidious preoperative preparation, meticulous surgical technique, and vigorous postoperative management. These data encouraged us to perform dynamic gluteoplasties for anal sphincter repair. This guaranteed a contractile muscle cuff around the anal canal in contrast to the tendinous sling after graciloplasty. Advantages and disadvantages of gluteoplasty were compared with those of graciloplasty.
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Surgical alternatives in anal sphincter reconstruction
Morphology of dynamic graciloplasty compared with the anal sphincter. Myoplasties have acquired an important place in anal sphincter repair. Surgical Alternatives in Anal Sphincter Reconstruction. This is a preview of subscription content, log in to check access. A meta-analysis of quality of life for abdominoperineal excision of rectum versus anterior resection for rectal cancer. When the operation is delayed or considerable tissue has been lost or if the patient is elderly and has a history of constipation or laxative abuse, direct repair is frequently unsuccessful. Mean basal pressure after dynamic gluteoplasty was 49 mmHg, which is lower than the reported mean basal pressure 62 mmHg during stimulation after dynamic graciloplasty.
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