Adynamic and dynamic muscle transposition techniques for anal incontinence
Open Access
- 19 March 2014
- journal article
- Published by Oxford University Press (OUP) in Gastroenterology Report
- Vol. 2 (2), 98-105
- https://doi.org/10.1093/gastro/gou014
Abstract
Gracilis muscle transposition is well established in general surgery and has been the main muscle transposition technique for anal incontinence. Dynamization, through a schedule of continuous electrical stimulation, converts the fatigue-prone muscle fibres to a tonic fatigue-resistant morphology with acceptable results in those cases where there is limited sphincter muscle mass. The differences between gluteoplasty and graciloplasty, as well as the techniques and complications of both procedures, are outlined in this review. Overall, these techniques are rarely carried out in specialized units with experience, as there is a high revision and explantation rate.Keywords
This publication has 43 references indexed in Scilit:
- Restoration of Fecal Continence After Functional GluteoplastyAnnals of Plastic Surgery, 2006
- Morphology of dynamic graciloplasty compared with the anal sphincterDiseases of the Colon & Rectum, 1993
- Total fecal incontinence-a new method of gluteus maximus transpositionDiseases of the Colon & Rectum, 1992
- Development of an electrically stimulated neoanal sphincterThe Lancet, 1991
- Reconstruction of rectal sphincter by transposition of gluteus muscle for fetal incontinenceJournal of Pediatric Surgery, 1987
- Gracilis muscle transposition for anal incontinence: Late resultsBritish Journal of Surgery, 1985
- Gracilis muscle transposition in the treatment of fecal incontinenceDiseases of the Colon & Rectum, 1985
- Construction of a Rectal Sphincter Using the Origin of the Gluteus Maximus MusclePlastic and Reconstructive Surgery, 1982
- Gluteal myoplasty for sphincter replacement: Principles, results and prospectsJournal of Pediatric Surgery, 1982
- Creation of an Anal Sphincter Mechanism by Bilateral Proximally Based Gluteal Muscle TranspositionPlastic and Reconstructive Surgery, 1981