Dynamic Graciloplasty Resulting Fecal Continence Without Electrical Stimulation: Report of a Case

被引:0
|
作者
Tomoo Shatari
Masanobu Fujita
Susumu Kodaira
机构
[1] Teikyo University School of Medicine,Department of Surgery
[2] The University of Birmingham,Department of Surgery
来源
Surgery Today | 2004年 / 34卷
关键词
Dynamic graciloplasty; Graciloplasty; Gracilis muscle; Pelvic fracture; Fecal incontinence;
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学科分类号
摘要
A 32 year-old man received dynamic graciloplasty for fecal incontinence due to a pelvic fracture. The perception of stool was obtained soon after the colostomy closure. Defecography and a manometric study showed that the patient could contract the transposed gracilis muscle independently. While the resting anal canal pressure remained low (52 cmH2O), he maintained excellent continence without stimulation. When stimulated, the anal canal pressure rose to 112 cmH2O. Electrical stimulation is therefore not always necessary for a good function after dynamic graciloplasty.
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页码:463 / 465
页数:2
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