Gracilis muscle transposition in the treatment of faecal incontinence
Between 1965 and 1994 eight selected patients with faecal incontinence for solid stool (Grade 4) were operated on by the original procedure described by Pickrell (1952), combined with biofeedback training postoperatively. No postoperative complication occurred. All patients were improved by this pro...
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Veröffentlicht in: | International journal of colorectal disease 1996, Vol.11 (1), p.15-18 |
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creator | SIELEZNEFF, I BAUER, S BULGARE, J.-C SARLES, J.-C |
description | Between 1965 and 1994 eight selected patients with faecal incontinence for solid stool (Grade 4) were operated on by the original procedure described by Pickrell (1952), combined with biofeedback training postoperatively. No postoperative complication occurred. All patients were improved by this procedure. Five had normal continence and there were 3 incontinence for flatus. Anal manometry showed an increase in postoperative squeeze pressure (p < 0.05). Long term results (48.5 months) remained the same in five cases. One patient became incontinent following an anal dilatation at 108 months, and two required excision of mucosal ectropion at 7 and 78 months with restoration of continence. One patient died of unrelated disease at 31 months. |
doi_str_mv | 10.1007/BF00418849 |
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No postoperative complication occurred. All patients were improved by this procedure. Five had normal continence and there were 3 incontinence for flatus. Anal manometry showed an increase in postoperative squeeze pressure (p < 0.05). Long term results (48.5 months) remained the same in five cases. One patient became incontinent following an anal dilatation at 108 months, and two required excision of mucosal ectropion at 7 and 78 months with restoration of continence. One patient died of unrelated disease at 31 months.</description><identifier>ISSN: 0179-1958</identifier><identifier>EISSN: 1432-1262</identifier><identifier>DOI: 10.1007/BF00418849</identifier><identifier>PMID: 8919335</identifier><identifier>CODEN: IJCDE6</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Adult ; Aged ; Anal Canal - physiopathology ; Biological and medical sciences ; Fecal Incontinence - physiopathology ; Fecal Incontinence - surgery ; Female ; Follow-Up Studies ; Humans ; Male ; Manometry ; Medical sciences ; Middle Aged ; Muscle, Skeletal - transplantation ; Pressure ; Stomach, duodenum, intestine, rectum, anus ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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No postoperative complication occurred. All patients were improved by this procedure. Five had normal continence and there were 3 incontinence for flatus. Anal manometry showed an increase in postoperative squeeze pressure (p < 0.05). Long term results (48.5 months) remained the same in five cases. One patient became incontinent following an anal dilatation at 108 months, and two required excision of mucosal ectropion at 7 and 78 months with restoration of continence. One patient died of unrelated disease at 31 months.</description><subject>Adult</subject><subject>Aged</subject><subject>Anal Canal - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Fecal Incontinence - physiopathology</subject><subject>Fecal Incontinence - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Manometry</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Muscle, Skeletal - transplantation</subject><subject>Pressure</subject><subject>Stomach, duodenum, intestine, rectum, anus</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Thigh</subject><issn>0179-1958</issn><issn>1432-1262</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkDFPwzAQRi0EKqWwsCNlQAxIAZ-dxPYIVVuQKrHAHDnuWRglTomdgX-PUaMyne6-dyfdI-Qa6ANQKh6f15QWIGWhTsgcCs5yYBU7JXMKQuWgSnlOLkL4oqmvRDEjM6lAcV7OyWozaONaF7JuDKbFLA7ah30fXHS9z5zP4uffEHXs0Mest5nVaHSbItP76Dx6g5fkzOo24NVUF-RjvXpfvuTbt83r8mmbGw4Qc8spKyTahqMyJRqhGAgoGxCsUSCZKQxDrgtUCZBVpUrB6M5wzi1Yi5QvyN3h7n7ov0cMse5cMNi22mM_hlrIkpdpLYH3B9AMfQgD2no_uE4PPzXQ-s9Z_e8swTfT1bHpcHdEJ0kpv51yHdLnNhkyLhwxpoRIYvkvKYtymQ</recordid><startdate>1996</startdate><enddate>1996</enddate><creator>SIELEZNEFF, I</creator><creator>BAUER, S</creator><creator>BULGARE, J.-C</creator><creator>SARLES, J.-C</creator><general>Springer</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>1996</creationdate><title>Gracilis muscle transposition in the treatment of faecal incontinence</title><author>SIELEZNEFF, I ; BAUER, S ; BULGARE, J.-C ; SARLES, J.-C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c311t-f30248efb3e9c5ec7921715b172b9182c4c2e3a4e93e986695720dc333f1ffe03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anal Canal - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Fecal Incontinence - physiopathology</topic><topic>Fecal Incontinence - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Manometry</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Muscle, Skeletal - transplantation</topic><topic>Pressure</topic><topic>Stomach, duodenum, intestine, rectum, anus</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Thigh</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SIELEZNEFF, I</creatorcontrib><creatorcontrib>BAUER, S</creatorcontrib><creatorcontrib>BULGARE, J.-C</creatorcontrib><creatorcontrib>SARLES, J.-C</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>International journal of colorectal disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SIELEZNEFF, I</au><au>BAUER, S</au><au>BULGARE, J.-C</au><au>SARLES, J.-C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gracilis muscle transposition in the treatment of faecal incontinence</atitle><jtitle>International journal of colorectal disease</jtitle><addtitle>Int J Colorectal Dis</addtitle><date>1996</date><risdate>1996</risdate><volume>11</volume><issue>1</issue><spage>15</spage><epage>18</epage><pages>15-18</pages><issn>0179-1958</issn><eissn>1432-1262</eissn><coden>IJCDE6</coden><abstract>Between 1965 and 1994 eight selected patients with faecal incontinence for solid stool (Grade 4) were operated on by the original procedure described by Pickrell (1952), combined with biofeedback training postoperatively. No postoperative complication occurred. All patients were improved by this procedure. Five had normal continence and there were 3 incontinence for flatus. Anal manometry showed an increase in postoperative squeeze pressure (p < 0.05). Long term results (48.5 months) remained the same in five cases. One patient became incontinent following an anal dilatation at 108 months, and two required excision of mucosal ectropion at 7 and 78 months with restoration of continence. One patient died of unrelated disease at 31 months.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><pub>Springer</pub><pmid>8919335</pmid><doi>10.1007/BF00418849</doi><tpages>4</tpages></addata></record> |
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subjects | Adult Aged Anal Canal - physiopathology Biological and medical sciences Fecal Incontinence - physiopathology Fecal Incontinence - surgery Female Follow-Up Studies Humans Male Manometry Medical sciences Middle Aged Muscle, Skeletal - transplantation Pressure Stomach, duodenum, intestine, rectum, anus Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Thigh |
title | Gracilis muscle transposition in the treatment of faecal incontinence |
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