Modified gracilis muscle transposition for fecal incontinence

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Gracilis muscle as neoanal sphincter for faecal incontinence.

Faecal incontinence is a debilitating chronic clinical condition which may affect the patient and care givers. Modality of treatment is based on severity of the symptoms as well as the anatomical defect itself, availability of resources and expertise. We describe a modified technique of dynamic graciloplasty as neoanal sphincter for the treatment severe faecal incontinence who has failed previo...

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Gracilis muscle transposition as a workhorse flap for anal incontinence: Quality of life and functional outcome in adults

BACKGROUND/PURPOSE Anal incontinence is one of the most psychologically and socially debilitating conditions in an otherwise healthy individual. It can lead to social isolation, loss of self-esteem, self-confidence and depression. This study is devoted to the problem of anal incontinence in the adult patients. The aim of our study is to analyse the results of gracilis muscle transposition for a...

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Adynamic and dynamic muscle transposition techniques for anal incontinence

Gracilis muscle transposition is well established in general surgery and has been the main muscle transposition technique for anal incontinence. Dynamization, through a schedule of continuous electrical stimulation, converts the fatigue-prone muscle fibres to a tonic fatigue-resistant morphology with acceptable results in those cases where there is limited sphincter muscle mass. The differences...

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Recto-vaginal/urethral fistula: repair with gracilis muscle transposition.

UNLABELLED This study was designed to assess the efficacy of gracilis muscle transposition in repairing recto-vaginal and rectourethral fistula. All patients had fecal diversion as a preliminary or concurrent step to fistula repair. Success was defined as healed fistula after stoma closure. RESULTS Six females and four males underwent gracilis muscle transposition from 1999 to 2006. Gracilis ...

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Fecal incontinence

Pelviperineology 2012; 31: 62-64 http://www.pelviperineology.org The fifth section of the book “Pelvic floor disordersImaging and Multidisciplinary Approach to Management” entitled “Fecal Incontinence” consists of twelve chapters divided into two subsections describing diagnostic modalities and management for this disorder. In the first chapter “Three-dimensional Endoluminal Ultrasonography” G....

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ژورنال

عنوان ژورنال: Techniques in Coloproctology

سال: 2020

ISSN: 1123-6337,1128-045X

DOI: 10.1007/s10151-020-02181-1