Reverse smooth muscle plasty: A new method of treating anorectal incontinence in infants with high anal and rectal atresia
A new technique of treating anorectal incontinence in infants with high anal and rectal atresia is described. In the first stage of this new operation an abdominosacroperineal pull-through procedure according to Rehbein, Romualdi, and Kiesewetter is performed. In the next step of this new method the...
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Veröffentlicht in: | Journal of pediatric surgery 1981-12, Vol.16 (6), p.917-920 |
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description | A new technique of treating anorectal incontinence in infants with high anal and rectal atresia is described. In the first stage of this new operation an abdominosacroperineal pull-through procedure according to Rehbein, Romualdi, and Kiesewetter is performed. In the next step of this new method the circular and longitudinal muscle layers of the pulled-through colon are turned back 180° and fixed to the pulled-through bowel. The mucosa of the turned back bowel is removed. Then the whole muscle cuff is re-pulled into the puborectalis sling. Pressure studies as well as X-ray investigations showed a good sphincter function of the newly established internal sphincter equivalent. |
doi_str_mv | 10.1016/S0022-3468(81)80846-9 |
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In the first stage of this new operation an abdominosacroperineal pull-through procedure according to Rehbein, Romualdi, and Kiesewetter is performed. In the next step of this new method the circular and longitudinal muscle layers of the pulled-through colon are turned back 180° and fixed to the pulled-through bowel. The mucosa of the turned back bowel is removed. Then the whole muscle cuff is re-pulled into the puborectalis sling. Pressure studies as well as X-ray investigations showed a good sphincter function of the newly established internal sphincter equivalent.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/S0022-3468(81)80846-9</identifier><identifier>PMID: 7338775</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Anal Canal - abnormalities ; Anal Canal - surgery ; Anorectal atresia ; anorectal incontinence ; Colon - surgery ; Fecal Incontinence - surgery ; Humans ; Infant ; Intestinal Atresia - surgery ; Methods ; Muscle, Smooth - transplantation ; Rectum - abnormalities</subject><ispartof>Journal of pediatric surgery, 1981-12, Vol.16 (6), p.917-920</ispartof><rights>1981 Grune & Stratton, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c360t-9f6fcc1bd1f01bcb2f0e608df773a3c096bed73e2fe5a3211902924cb3615d923</citedby><cites>FETCH-LOGICAL-c360t-9f6fcc1bd1f01bcb2f0e608df773a3c096bed73e2fe5a3211902924cb3615d923</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022346881808469$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7338775$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Holschneider, Alexander M.</creatorcontrib><creatorcontrib>Hecker, Waldemar Ch</creatorcontrib><title>Reverse smooth muscle plasty: A new method of treating anorectal incontinence in infants with high anal and rectal atresia</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>A new technique of treating anorectal incontinence in infants with high anal and rectal atresia is described. In the first stage of this new operation an abdominosacroperineal pull-through procedure according to Rehbein, Romualdi, and Kiesewetter is performed. In the next step of this new method the circular and longitudinal muscle layers of the pulled-through colon are turned back 180° and fixed to the pulled-through bowel. The mucosa of the turned back bowel is removed. Then the whole muscle cuff is re-pulled into the puborectalis sling. Pressure studies as well as X-ray investigations showed a good sphincter function of the newly established internal sphincter equivalent.</description><subject>Anal Canal - abnormalities</subject><subject>Anal Canal - surgery</subject><subject>Anorectal atresia</subject><subject>anorectal incontinence</subject><subject>Colon - surgery</subject><subject>Fecal Incontinence - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Intestinal Atresia - surgery</subject><subject>Methods</subject><subject>Muscle, Smooth - transplantation</subject><subject>Rectum - abnormalities</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1981</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkF1LXDEQhkOp2K32Jwi5KvXi1MnJno94I4u0KgiCrdchJ5m4Keck2yTror--2Q-8LQSGzLzvO8xDyBmD7wxYe_ELoK4rPm_7bz0776Gft5X4QGas4axqgHcfyexd8ol8TukPQGkDOybHHed91zUz8vaILxgT0jSFkJd0Wic9Il2NKuXXS7qgHjd0wrwMhgZLc0SVnX-myoeIOquROq-DLz30GsunPKt8TnTjStzSPS-LtsiUN_TgUCUlOXVKjqwaE3451BPy9PPH7-vb6v7h5u56cV9p3kKuhG2t1mwwzAIb9FBbwBZ6Y7uOK65BtAOajmNtsVG8ZkxALeq5HnjLGiNqfkK-7nNXMfxdY8pycknjOCqPYZ1kxwXAXDRF2OyFOoaUIlq5im5S8VUykFvmcsdcboHKnskdcymK7-ywYD1MaN5dB8hlfrWfY7nyxWGUSbstLuO2RKQJ7j8b_gHriJL5</recordid><startdate>198112</startdate><enddate>198112</enddate><creator>Holschneider, Alexander M.</creator><creator>Hecker, Waldemar Ch</creator><general>Elsevier Inc</general><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>198112</creationdate><title>Reverse smooth muscle plasty: A new method of treating anorectal incontinence in infants with high anal and rectal atresia</title><author>Holschneider, Alexander M. ; Hecker, Waldemar Ch</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-9f6fcc1bd1f01bcb2f0e608df773a3c096bed73e2fe5a3211902924cb3615d923</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1981</creationdate><topic>Anal Canal - abnormalities</topic><topic>Anal Canal - surgery</topic><topic>Anorectal atresia</topic><topic>anorectal incontinence</topic><topic>Colon - surgery</topic><topic>Fecal Incontinence - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Intestinal Atresia - surgery</topic><topic>Methods</topic><topic>Muscle, Smooth - transplantation</topic><topic>Rectum - abnormalities</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Holschneider, Alexander M.</creatorcontrib><creatorcontrib>Hecker, Waldemar Ch</creatorcontrib><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>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Holschneider, Alexander M.</au><au>Hecker, Waldemar Ch</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reverse smooth muscle plasty: A new method of treating anorectal incontinence in infants with high anal and rectal atresia</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>1981-12</date><risdate>1981</risdate><volume>16</volume><issue>6</issue><spage>917</spage><epage>920</epage><pages>917-920</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>A new technique of treating anorectal incontinence in infants with high anal and rectal atresia is described. In the first stage of this new operation an abdominosacroperineal pull-through procedure according to Rehbein, Romualdi, and Kiesewetter is performed. In the next step of this new method the circular and longitudinal muscle layers of the pulled-through colon are turned back 180° and fixed to the pulled-through bowel. The mucosa of the turned back bowel is removed. Then the whole muscle cuff is re-pulled into the puborectalis sling. Pressure studies as well as X-ray investigations showed a good sphincter function of the newly established internal sphincter equivalent.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>7338775</pmid><doi>10.1016/S0022-3468(81)80846-9</doi><tpages>4</tpages></addata></record> |
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subjects | Anal Canal - abnormalities Anal Canal - surgery Anorectal atresia anorectal incontinence Colon - surgery Fecal Incontinence - surgery Humans Infant Intestinal Atresia - surgery Methods Muscle, Smooth - transplantation Rectum - abnormalities |
title | Reverse smooth muscle plasty: A new method of treating anorectal incontinence in infants with high anal and rectal atresia |
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