Follow‐up of anal dynamic graciloplasty for fecal continence

The feasibility of anal dynamic graciloplasty (transposition of the gracilis muscle and subsequent implantation of a stimulation device) to restore continence, was assessed in a case‐control study of 26 patients with severe fecal incontinence. It was shown that anal dynamic graciloplasty is capable...

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Veröffentlicht in:	World journal of surgery 1993-05, Vol.17 (3), p.404-408
Hauptverfasser:	Konsten, Joop, Baeten, Cor G., Spaans, Frank, Havenith, Miek G., Soeters, Peter B.
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Aged Anal Canal - physiopathology Anal Canal - surgery Anal Pressure Case-Control Studies Electric Stimulation - instrumentation Electrical Stimulation Electrodes, Implanted Electromyography Feasibility Studies Fecal Continence Fecal Incontinence Fecal Incontinence - surgery Female Follow-Up Studies Gracilis Muscle Humans Male Manometry Middle Aged Muscle Contraction - physiology Muscles - physiopathology Muscles - transplantation Muscles - ultrastructure Myofibrils - ultrastructure Pressure Surgical Flaps - adverse effects Surgical Flaps - methods
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Beschreibung
Zusammenfassung:	The feasibility of anal dynamic graciloplasty (transposition of the gracilis muscle and subsequent implantation of a stimulation device) to restore continence, was assessed in a case‐control study of 26 patients with severe fecal incontinence. It was shown that anal dynamic graciloplasty is capable of achieving the sphincter tone of healthy persons, as stimulated graciloplasty increased anal pressure from 46 mmHg without stimulation to 65 mmHg with stimulation (mean increase 19 mmHg; 95% confidence interval 13, 25;n=25;p
ISSN:	0364-2313 1432-2323
DOI:	10.1007/BF01658712