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Anal spinchter reconstruction

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This chapter outlines the surgical alternatives in the management of the incontinent patient, detailing the results of stimulated and unstimulated graciloplasties and gluteus muscle transposition. Muscle transpositions have documented effectiveness as reconstructive procedures in the treatment of fecal incontinence. These procedures are technically challenging and carry a distinct probability of morbidity, although there is a significant body of literature that finds an equivalent quality of life for patients with a colostomy versus imperfect anorectal function after reconstructed sphincter preservation. The coloproctologist must incorporate the range of muscle transpositions in selected often reoperated cases as part of their surgical armamentarium. Skip to main content.
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Anal sphincter reconstruction

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Surgical Alternatives in Anal Sphincter Reconstruction | SpringerLink

This chapter outlines the surgical alternatives in the management of the incontinent patient, detailing the results of stimulated and unstimulated graciloplasties and gluteus muscle transposition. Muscle transpositions have documented effectiveness as reconstructive procedures in the treatment of fecal incontinence. These procedures are technically challenging and carry a distinct probability of morbidity, although there is a significant body of literature that finds an equivalent quality of life for patients with a colostomy versus imperfect anorectal function after reconstructed sphincter preservation. The coloproctologist must incorporate the range of muscle transpositions in selected often reoperated cases as part of their surgical armamentarium. Surgical alternatives in anal sphincter reconstruction.
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Anal Sphincter Reconstruction After High Recurrent Anorectal Fistula Excision

Take advantage of advanced surgical procedures at our locations in Raleigh and Cary. Your anal sphincter is a ring of muscle that opens and closes at the bottom of your anus and plays a large role in controlling bowel function. When the muscle is damaged or weakened it can cause incontinence—accidental loss of stool. If your sphincter is damaged and requires surgical repair, your physician will outline your personalized treatment plan that may include complete sphincter repair sphincteroplasty or an implantation of a wire that stimulates your bowels sacral nerve stimulation.
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Study record managers: refer to the Data Element Definitions if submitting registration or results information. Radical surgical treatment of anorectal fistulas implies removal of the tract, which ideally should be followed by complete wound healing and good anal sphincter function. A big variety of techniques to restore the anal canal after fistula excision have been developed, however, none of them demonstrates excellent results in difficult clinical situations. Treatment of high anorectal fistulas, as well as recurrent fistulas, has always been the most challenging task even for expert colorectal surgeons, considering the need to safely restore the anal sphincters after surgical trauma in the presence of severe postoperative fibrosis and inflammatory changes. In high recurrent anorectal fistulas, fistulotomy isn't a method of choice as division of a big portion of anal sphincter muscles leads to postoperative incontinence.
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