Diseases of the Colon & Rectum

, Volume 43, Issue 11, pp 1628–1631 | Cite as

Use of a gracilis muscle flap to facilitate delayed ileal pouch-anal anastomosis

  • Robert C. Shamberger
  • Charles A. Hergrueter
  • Craig W. Lillehei
Technical Notes


Failure of an ileal pouch-anal anastomosis may result in unsuccessful completion of the anastomosis or removal of an ischemic pouch. We report a technique for preservation of the muscular wall of the rectum after mucosal dissection, which allowed a successful delayed pull-through.

Key words

Gracilis muscle flap Ileal pouch-anal anastomosis Complications 


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Copyright information

© The American Society of Colon and Rectal Surgeons 2000

Authors and Affiliations

  • Robert C. Shamberger
    • 1
  • Charles A. Hergrueter
    • 1
  • Craig W. Lillehei
    • 1
  1. 1.From the Departments of Surgery and Plastic Surgery at Children's Hospital and Harvard Medical SchoolBoston

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