Abstract
Continence following the gracilis stimulated neosphincter reconstruction after total rectal excision is inferior to that obtained in the presence of an intact anal canal. We describe a modification of the alpha loop in which the tendon is brought through the belly of the gracilis muscle. The results in three patients are presented.
Résumé
La reconstruction sphinctérienne après excision totale du rectum au moyen d'un néosphincter fait d'un muscle gracilis stimulé donne des résultats sur le plan de la continence inférieurs à ceux obtenus en présence d'un canal anal intact. Nous décrivons une modification de l'anse alpha dans laquelle le tendon est fixé après avoir traversé la sangle de muscle gracilis. Les résultats de trois patients sont rapportés.
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Rosen, H.R., Feil, W., Novi, G. et al. The electrically stimulated (dynamic) graciloplasty for faecal incontinence — first experiences with a modified muscle sling. Int J Colorect Dis 9, 184–186 (1994). https://doi.org/10.1007/BF00292246
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DOI: https://doi.org/10.1007/BF00292246