[Anal sphincter restoration using dynamic graciloplasty--results of 50 patients]. / Analer Schliessmuskelersatz mittels dynamischer Gracilisplastik--Ergebnisse der Anwendung an 50 Patienten.
Chirurg
; 70(4): 469-75, 1999 Apr.
Article
em De
| MEDLINE
| ID: mdl-10354848
ABSTRACT
During the period from 1992 to 1998, 50 patients underwent anal sphincter restoration by dynamic graciloplasty for primary (n = 26) or secondary (n = 6) total anorectal reconstruction (TAR) following abdominoperineal rectal resection (APR) or acquired (n = 9) or congenital (n = 9) fecal incontinence, respectively. Forty-seven patients were operated on by a single-stage procedure using a modified technique for the muscle wrap ("split sling"). Muscle fiber transformation by controlled stimulation was achieved at the beginning of the learning curve within 8 weeks and in the meantime within 4 weeks. Rectal injury (n = 10) turned out to be the most serious postoperative complication and was observed mainly in patients following TAR (n = 8). As the most prominent functional problem constipation in patients following TAR hampered the postoperative functional result; however, this was overcome by regular enemas. An improvement in the continence status was observed in 80% of the patients treated for fecal incontinence, and following APR 66% of the patients had acceptable results without a permanent colostomy.
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Base de dados:
MEDLINE
Assunto principal:
Canal Anal
Tipo de estudo:
Etiology_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
De
Ano de publicação:
1999
Tipo de documento:
Article