Abstract
Successful repair of postirradiation total loss of the anal sphincters, rectovaginal septum, and distal part of the vagina is reported. Gracilis muscle flap was used as a substitute sphincter. Part of the muscle, was “wrapped-up” in a split skin graft. To the authors' knowledge, this is the first report on new application of gracilis muscle, and split skin graft in perineal reconstruction.
Similar content being viewed by others
References
Pickrell KL, Broadbent TR, Masters FW, Metzger JT. Construction of a rectal sphincter and restoration of anal continence by transplanting the gracilis muscle: a report of four cases in children. Ann Surg 1952;135:853–62.
Orticochea M. A new method of total reconstruction of the penis. Br J Plast Surg 1972;25:347–66.
Corman ML. Management of fecal incontinence by gracilis muscle transposition. Dis Colon Rectum 1979;22:290–2.
Corman ML. Follow-up evaluation of gracilis muscle transportation for fecal incontinence. Dis Colon Rectum 1980;23:552–5.
Corman ML. Gracilis muscle transposition for anal incontinence: late results. Br J Surg 1985;72s:21–2.
Corman ML. Colon and Rectal Surgery. Philadelphia: JB Lippincott, 1984:129–34.
Labandter HP. The gracilis muscle flap and musculocutaneous flap in the repair of perineal and ischial defects. Br J Surg 1980;33:95–8.
Venugopalan S. Repair of midline abdominal incisional hernia by gracilis muscle transfer. Br J Plast Surg 1980;33:43–5.
Medgyesi S, Mortensen S, Nerstrøm B. The failure of free muscle transplants in the treatment of urinary incontinence. Br J Plast Surg 1979;32:336–48.
McCraw JB, Massey FM, Shanklin KD, Horton CE. Vaginal reconstruction with gracilis myocutaneous flaps. Plast Reconstr Surg 1976;58:176–80.
Uszynski H, Jethon J, Towpik E. Muscle and myocutaneous flaps in the treatment of pressure sores in paraplegics. Acta Chir Plast 1985;27:185–90.
Mathes SJ, Nahai F. Clinical application of muscle and myocutaneous flaps. St. Louis: CV Mosby, 1982:408–18.
Author information
Authors and Affiliations
About this article
Cite this article
Nowacki, M.P., Towpik, E. Reconstruction of the anus, rectovaginal septum, and distal part of the vagina after postirradiation necrosis. Dis Colon Rectum 31, 632–634 (1988). https://doi.org/10.1007/BF02556801
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02556801