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
Hauptverfasser: SIELEZNEFF, I, BAUER, S, BULGARE, J.-C, SARLES, J.-C
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container_title International journal of colorectal disease
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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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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. 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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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