Summary
Following several unsuccessful postnatal attempts at anoplasty to correct anal atresia with a rectovaginal fistula, the patient, 20 years later, underwent an anorectal sphincteric construction using a gracilismuscle transplant. The five-stage procedure, which extended over a period of two years, resulted in highly satisfactory continence and full social rehabilitation of the patient. The continence achieved in this case seems to be in contradiction to some of the accepted concepts of the mechanisms of continence.
Similar content being viewed by others
References
Chittenden AS: Reconstruction of anal sphincter by muscle slips from the glutei. Ann Surg 92:152, 1930
Duthie HL, Gairns FW: Sensory nerve-endings and sensation in the anal region of man. Br J Surg 47:585, 1960
Feuchtwanger MM, Ben-Hur N: The surgical correction of anal incontinence by complete perineoplasty: Case report. Plast Reconstr Surg 41:268, 1968
Kiesewetter WB: Imperforate anus: The role and results of the sacro-abdominoperineal operation. Ann Surg 164:655, 1966
Knapp LS: Plastic repair for postoperative anal incontinence. Ann Surg 109:146, 1939
Mann A: Gracilis anoplasty: Report of a successful case. Aust NZ J Surg 39:405, 1970
McGregor RA: Gracilis muscle transplant in anal incontinence. Dis Colon Rectum 8:141, 1965
Petrozzi CA, Schcolnik J, Repetto LM: Clinical study of anorectal function in normal and pathologic conditions. Am J Proctol 23:35, 1972
Pickrell K, Georgiade N, Maguire C, et al: Gracilis muscle transplant for rectal incontinence. Surgery 40:349, 1956
Pickrell K, Masters F, Georgiade N, et al: Rectal sphincter reconstruction using gracilis muscle transplant. Plast Reconstr Surg 13:46, 1954
Author information
Authors and Affiliations
About this article
Cite this article
Jacob, E.T., Shapira, Z., Bar-Natan, N. et al. Total anorectal reconstruction following congenital anorectal anomaly: Report of a case. Dis Colon Rectum 19, 172–177 (1976). https://doi.org/10.1007/BF02590876
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02590876