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Total anorectal reconstruction following congenital anorectal anomaly: Report of a case

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Diseases of the Colon & Rectum

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.

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References

  1. Chittenden AS: Reconstruction of anal sphincter by muscle slips from the glutei. Ann Surg 92:152, 1930

    Google Scholar 

  2. Duthie HL, Gairns FW: Sensory nerve-endings and sensation in the anal region of man. Br J Surg 47:585, 1960

    Article  PubMed  CAS  Google Scholar 

  3. Feuchtwanger MM, Ben-Hur N: The surgical correction of anal incontinence by complete perineoplasty: Case report. Plast Reconstr Surg 41:268, 1968

    Article  PubMed  CAS  Google Scholar 

  4. Kiesewetter WB: Imperforate anus: The role and results of the sacro-abdominoperineal operation. Ann Surg 164:655, 1966

    Article  PubMed  CAS  Google Scholar 

  5. Knapp LS: Plastic repair for postoperative anal incontinence. Ann Surg 109:146, 1939

    Google Scholar 

  6. Mann A: Gracilis anoplasty: Report of a successful case. Aust NZ J Surg 39:405, 1970

    CAS  Google Scholar 

  7. McGregor RA: Gracilis muscle transplant in anal incontinence. Dis Colon Rectum 8:141, 1965

    PubMed  CAS  Google Scholar 

  8. Petrozzi CA, Schcolnik J, Repetto LM: Clinical study of anorectal function in normal and pathologic conditions. Am J Proctol 23:35, 1972

    PubMed  CAS  Google Scholar 

  9. Pickrell K, Georgiade N, Maguire C, et al: Gracilis muscle transplant for rectal incontinence. Surgery 40:349, 1956

    PubMed  CAS  Google Scholar 

  10. Pickrell K, Masters F, Georgiade N, et al: Rectal sphincter reconstruction using gracilis muscle transplant. Plast Reconstr Surg 13:46, 1954

    Article  PubMed  CAS  Google Scholar 

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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

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  • DOI: https://doi.org/10.1007/BF02590876

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