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Long-term follow-up of Gracilis Muscle Transposition in Children

Authors
 Seok Joo Han  ;  Hyo Jin Park  ;  Choong Bai Kim  ;  Eui Ho Hwang 
Citation
 YONSEI MEDICAL JOURNAL, Vol.36(4) : 372-377, 1995-08 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
1995-08
MeSH
Adolescent ; Adult ; Anal Canal / physiopathology ; Child ; Child, Preschool ; Colostomy ; Fecal Incontinence / physiopathology ; Fecal Incontinence / surgery* ; Female ; Follow-Up Studies ; Humans ; Infant ; Longitudinal Studies ; Male ; Manometry ; Muscles / transplantation* ; Postoperative Period ; Reoperation ; Thigh ; Treatment Outcome
Keywords
Fecal incontinence ; gracilis muscle transposition ; anorectal manometry
Abstract
Sixteen children of uncontrollable fecal incontinence have been treated with Pickrell's gracilis muscle transposition since 1983: 12 had an imperforate anuses with multiple corrective operative procedures and 4 had traumatic destructions of anal sphincters. We report a series of 11 cases whom we followed-up over a period of 0.8 to 10.5 years (mean; 5.6 years). Seven patients were evaluated by anorectal manometry. All patients except one who had left hemipelvectomy and permanent colostomy showed nearly normal continence during the follow-up period. There was no evidence of fibrosis in the transposed muscles and the tensions of the transposed muscles were well maintained. The voluntary contractions of the transposed muscles were well maintained and efficient in all cases. The general manometric parameters did not correlate well with the functional results; however, there was a strong correlation in the S/R ratio (maximum squeeze pressure/resting pressure) with the functional results. We believe that the good functional outcome of this procedure need not only the meticulous surgical technique but also the personal motivation and the compliance with physiotherapy. In conclusion, although the gracilis muscle transposition never results in normal continence, acceptable continence can be achieved in the selected patients.
Files in This Item:
T199500683.pdf Download
DOI
10.3349/ymj.1995.36.4.372
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Hyo Jin(박효진) ORCID logo https://orcid.org/0000-0003-4814-8330
Han, Seok Joo(한석주) ORCID logo https://orcid.org/0000-0001-5224-1437
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/186113
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