Surgical Reconstitution of a Unilaterally Avulsed Symptomatic Puborectalis Muscle Using Autologous Fascia Lata
The puborectalis muscle is an important muscle for the maintenance of fecal continence. We present a novel surgical technique for repair of symptomatic avulsed puborectalis muscle. This woman presented with dyspareunia and fecal incontinence since the vaginal birth of her child 2 years before. The d...
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| Veröffentlicht in: | Obstetrics and gynecology (New York. 1953) 2009-08, Vol.114 (2), p.480-482 |
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| container_title | Obstetrics and gynecology (New York. 1953) |
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| creator | Shobeiri, S Abbas Chimpiri, A Rao Allen, Ariel Nihira, Mikio A. Quiroz, Lieschen H. |
| description | The puborectalis muscle is an important muscle for the maintenance of fecal continence. We present a novel surgical technique for repair of symptomatic avulsed puborectalis muscle.
This woman presented with dyspareunia and fecal incontinence since the vaginal birth of her child 2 years before. The diagnosis of an avulsed right puborectalis was made by physical examination and confirmed by magnetic resonance imaging and three-dimensional ultrasonography. Fascia lata was harvested from the patient's thigh and used to reconstitute the missing portion of the puborectalis muscle. At 12 months postoperatively, the patient was continent of stool and relieved of dyspareunia.
The patient's dyspareunia and fecal incontinence were alleviated by restoring normal anatomy. |
| doi_str_mv | 10.1097/AOG.0b013e3181ae6ad6 |
| format | Article |
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This woman presented with dyspareunia and fecal incontinence since the vaginal birth of her child 2 years before. The diagnosis of an avulsed right puborectalis was made by physical examination and confirmed by magnetic resonance imaging and three-dimensional ultrasonography. Fascia lata was harvested from the patient's thigh and used to reconstitute the missing portion of the puborectalis muscle. At 12 months postoperatively, the patient was continent of stool and relieved of dyspareunia.
The patient's dyspareunia and fecal incontinence were alleviated by restoring normal anatomy.</description><identifier>ISSN: 0029-7844</identifier><identifier>EISSN: 1873-233X</identifier><identifier>DOI: 10.1097/AOG.0b013e3181ae6ad6</identifier><identifier>PMID: 19622969</identifier><identifier>CODEN: OBGNAS</identifier><language>eng</language><publisher>Hagerstown, MD: by The American College of Obstetricians and Gynecologists</publisher><subject>Biological and medical sciences ; Dyspareunia - diagnosis ; Dyspareunia - etiology ; Dyspareunia - surgery ; Fascia Lata - transplantation ; Fecal Incontinence - diagnosis ; Fecal Incontinence - etiology ; Fecal Incontinence - surgery ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Medical sciences ; Muscle, Skeletal - pathology ; Muscle, Skeletal - surgery ; Obstetric Labor Complications - diagnosis ; Obstetric Labor Complications - etiology ; Obstetric Labor Complications - surgery ; Pelvic Floor - pathology ; Pelvic Floor - surgery ; Pregnancy ; Puerperal Disorders - diagnosis ; Puerperal Disorders - etiology ; Puerperal Disorders - surgery</subject><ispartof>Obstetrics and gynecology (New York. 1953), 2009-08, Vol.114 (2), p.480-482</ispartof><rights>by The American College of Obstetricians and Gynecologists.</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3807-3cf503d6bfdc90b6b1a259d360f4823ca5d32d2877d3b6f61f49555dc1c0ce003</citedby><cites>FETCH-LOGICAL-c3807-3cf503d6bfdc90b6b1a259d360f4823ca5d32d2877d3b6f61f49555dc1c0ce003</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21797746$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19622969$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shobeiri, S Abbas</creatorcontrib><creatorcontrib>Chimpiri, A Rao</creatorcontrib><creatorcontrib>Allen, Ariel</creatorcontrib><creatorcontrib>Nihira, Mikio A.</creatorcontrib><creatorcontrib>Quiroz, Lieschen H.</creatorcontrib><title>Surgical Reconstitution of a Unilaterally Avulsed Symptomatic Puborectalis Muscle Using Autologous Fascia Lata</title><title>Obstetrics and gynecology (New York. 1953)</title><addtitle>Obstet Gynecol</addtitle><description>The puborectalis muscle is an important muscle for the maintenance of fecal continence. We present a novel surgical technique for repair of symptomatic avulsed puborectalis muscle.
This woman presented with dyspareunia and fecal incontinence since the vaginal birth of her child 2 years before. The diagnosis of an avulsed right puborectalis was made by physical examination and confirmed by magnetic resonance imaging and three-dimensional ultrasonography. Fascia lata was harvested from the patient's thigh and used to reconstitute the missing portion of the puborectalis muscle. At 12 months postoperatively, the patient was continent of stool and relieved of dyspareunia.
The patient's dyspareunia and fecal incontinence were alleviated by restoring normal anatomy.</description><subject>Biological and medical sciences</subject><subject>Dyspareunia - diagnosis</subject><subject>Dyspareunia - etiology</subject><subject>Dyspareunia - surgery</subject><subject>Fascia Lata - transplantation</subject><subject>Fecal Incontinence - diagnosis</subject><subject>Fecal Incontinence - etiology</subject><subject>Fecal Incontinence - surgery</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Muscle, Skeletal - pathology</subject><subject>Muscle, Skeletal - surgery</subject><subject>Obstetric Labor Complications - diagnosis</subject><subject>Obstetric Labor Complications - etiology</subject><subject>Obstetric Labor Complications - surgery</subject><subject>Pelvic Floor - pathology</subject><subject>Pelvic Floor - surgery</subject><subject>Pregnancy</subject><subject>Puerperal Disorders - diagnosis</subject><subject>Puerperal Disorders - etiology</subject><subject>Puerperal Disorders - surgery</subject><issn>0029-7844</issn><issn>1873-233X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkV1rFDEUhoModlv9ByK50bupJ8lMMrlcSlsLKxXrgndDJslso5nJmg_L_ntTuljwKnB4zntynoPQOwLnBKT4tL69PocRCLOM9ERZrgx_gVakF6yhjP14iVYAVDaib9sTdJrSTwAgXLLX6IRITqnkcoWWuxJ3TiuPv1kdlpRdLtmFBYcJK7xdnFfZRuX9Aa__FJ-swXeHeZ_DrLLT-GsZQ7Q6K-8S_lKS9hZvk1t2eF1y8GEXSsJXKmmn8EZl9Qa9mlRNeXt8z9D26vL7xedmc3t9c7HeNJr1IBqmpw6Y4eNktISRj0TRThrGYWp7yrTqDKOG9kIYNvKJk6mVXdcZTTRoC8DO0Men3H0Mv4tNeZhd0tZ7tdj6pYGLjlQZj2D7BOoYUop2GvbRzSoeBgLDo-eheh7-91zb3h_zyzhb89x0FFuBD0egLq_8FNWiXfrHUSKkEC1_nv8QfBWdfvnyYONwb5XP90O9GHDaQUMBJPT1fk2tUMH-Am3dmRA</recordid><startdate>20090801</startdate><enddate>20090801</enddate><creator>Shobeiri, S Abbas</creator><creator>Chimpiri, A Rao</creator><creator>Allen, Ariel</creator><creator>Nihira, Mikio A.</creator><creator>Quiroz, Lieschen H.</creator><general>by The American College of Obstetricians and Gynecologists</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090801</creationdate><title>Surgical Reconstitution of a Unilaterally Avulsed Symptomatic Puborectalis Muscle Using Autologous Fascia Lata</title><author>Shobeiri, S Abbas ; Chimpiri, A Rao ; Allen, Ariel ; Nihira, Mikio A. ; Quiroz, Lieschen H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3807-3cf503d6bfdc90b6b1a259d360f4823ca5d32d2877d3b6f61f49555dc1c0ce003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Biological and medical sciences</topic><topic>Dyspareunia - diagnosis</topic><topic>Dyspareunia - etiology</topic><topic>Dyspareunia - surgery</topic><topic>Fascia Lata - transplantation</topic><topic>Fecal Incontinence - diagnosis</topic><topic>Fecal Incontinence - etiology</topic><topic>Fecal Incontinence - surgery</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Muscle, Skeletal - pathology</topic><topic>Muscle, Skeletal - surgery</topic><topic>Obstetric Labor Complications - diagnosis</topic><topic>Obstetric Labor Complications - etiology</topic><topic>Obstetric Labor Complications - surgery</topic><topic>Pelvic Floor - pathology</topic><topic>Pelvic Floor - surgery</topic><topic>Pregnancy</topic><topic>Puerperal Disorders - diagnosis</topic><topic>Puerperal Disorders - etiology</topic><topic>Puerperal Disorders - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shobeiri, S Abbas</creatorcontrib><creatorcontrib>Chimpiri, A Rao</creatorcontrib><creatorcontrib>Allen, Ariel</creatorcontrib><creatorcontrib>Nihira, Mikio A.</creatorcontrib><creatorcontrib>Quiroz, Lieschen H.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shobeiri, S Abbas</au><au>Chimpiri, A Rao</au><au>Allen, Ariel</au><au>Nihira, Mikio A.</au><au>Quiroz, Lieschen H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical Reconstitution of a Unilaterally Avulsed Symptomatic Puborectalis Muscle Using Autologous Fascia Lata</atitle><jtitle>Obstetrics and gynecology (New York. 1953)</jtitle><addtitle>Obstet Gynecol</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>114</volume><issue>2</issue><spage>480</spage><epage>482</epage><pages>480-482</pages><issn>0029-7844</issn><eissn>1873-233X</eissn><coden>OBGNAS</coden><abstract>The puborectalis muscle is an important muscle for the maintenance of fecal continence. We present a novel surgical technique for repair of symptomatic avulsed puborectalis muscle.
This woman presented with dyspareunia and fecal incontinence since the vaginal birth of her child 2 years before. The diagnosis of an avulsed right puborectalis was made by physical examination and confirmed by magnetic resonance imaging and three-dimensional ultrasonography. Fascia lata was harvested from the patient's thigh and used to reconstitute the missing portion of the puborectalis muscle. At 12 months postoperatively, the patient was continent of stool and relieved of dyspareunia.
The patient's dyspareunia and fecal incontinence were alleviated by restoring normal anatomy.</abstract><cop>Hagerstown, MD</cop><pub>by The American College of Obstetricians and Gynecologists</pub><pmid>19622969</pmid><doi>10.1097/AOG.0b013e3181ae6ad6</doi><tpages>3</tpages></addata></record> |
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| issn | 0029-7844 1873-233X |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Biological and medical sciences Dyspareunia - diagnosis Dyspareunia - etiology Dyspareunia - surgery Fascia Lata - transplantation Fecal Incontinence - diagnosis Fecal Incontinence - etiology Fecal Incontinence - surgery Female Gynecology. Andrology. Obstetrics Humans Medical sciences Muscle, Skeletal - pathology Muscle, Skeletal - surgery Obstetric Labor Complications - diagnosis Obstetric Labor Complications - etiology Obstetric Labor Complications - surgery Pelvic Floor - pathology Pelvic Floor - surgery Pregnancy Puerperal Disorders - diagnosis Puerperal Disorders - etiology Puerperal Disorders - surgery |
| title | Surgical Reconstitution of a Unilaterally Avulsed Symptomatic Puborectalis Muscle Using Autologous Fascia Lata |
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