Diseases of the Colon & Rectum

, Volume 40, Issue 12, pp 1511–1512 | Cite as

New pathway for leads in dynamic graciloplasty

  • Tomoo Shatari
  • Hideyuki Kawahara
  • Susumu Kodaira
Technical Note


Dynamic graciloplasty is one of the methods now used to re-establish anal function. Among complications, pain in the local tissue and skin irritation have been reported, both caused by lead wires. By passing the leads posterior to the adductor longus muscle, the wires do not irritate the local skin and are fixed well without sutures. We performed this procedure in three patients, with good results. The technique is easy, and complications involving the lead wires were minimized.

Key words

Dynamic graciloplasty Lead wire Skin irritation Surgical technique 


  1. 1.
    Geerdes BP, Heineman E, Konsten J, Soeters PB, Baeten CG. Dynamic graciloplasty. Dis Colon Rectum 1996;39:912–7.PubMedGoogle Scholar
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    Wexner SD, Gonzalez-Padron A, Rius J,et al. Stimulated gracilis neosphincter operation: initial experience, pitfalls, and complications. Dis Colon Rectum 1996;39:957–64.PubMedGoogle Scholar

Copyright information

© American Society of Colon and Rectal Surgeons 1997

Authors and Affiliations

  • Tomoo Shatari
    • 1
  • Hideyuki Kawahara
    • 2
  • Susumu Kodaira
    • 1
  1. 1.First Department of SurgeryTeikyo UniversityTokyoJapan
  2. 2.Municipal Ida HospitalKawasakiJapan

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