Abdominal stoma is a morbidity. A neo-anus has recently been reconstructed with an
electrically stimulated neo-sphincter
1
,
2
,
3
with the aim of creating a sphincter of sufficient strength. The clinical results,
however, have so far been rather disappointing.
1
,
2
,
3
Other natural anal functions and a greater sphincteric strength may be needed to
achieve fecal continence.To read this article in full you will need to make a payment
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References
- The electrically stimulated gracilis neosphincter incorporated as part of total anorectal reconstruction after abdominoperineal excision of the rectum.Ann Surg. 1996; 224: 702-709
- Total anorectal reconstruction with a double dynamic graciloplasty after abdominoperineal reconstruction for low rectal cancer.Dis Colon Rectum. 1997; 40: 698-705
- Outcome of restorative perineal graciloplasty with simultaneous excision of the anus and rectum for cancer; a ten-year experience with 81 patients.Dis Colon Rectum. 1996; 39: 182-190
- Functional perineal colostomy with pudendal nerve anastomosis following anorectal resection: an experimental resection.Surgery. 1996; 119: 641-651
- Experimental model of pudendal nerve innervation of a skeletal muscle neosphincter for faecal incontinence.Br J Surg. 1997; 84: 1269-1273
- Functional perineal colostomy with pudendal nerve anastomosis following anorectal resection: a cadaver operation study on a new procedure.Surgery. 1997; 121: 569-574
- Anal sphincter reconstruction with a pudendal nerve anastomosis following abdominoperineal resection: report of a case.Dis Colon Rectum. 1997; 40: 1497-1503
- A prospective study of the effects of postanal repair in neurogenic faecal incontinence.Br J Surg. 1988; 75: 48-52
Article info
Publication history
Accepted:
March 5,
2000
Footnotes
*Reprint requests: Tomoyuki Sato, MD, PhD, Department of Surgery, Jichi Medical School, 3311-1 Yakushiji, Minamikawachi-machi, Kawachi-gun, Tochigi-ken, 329-0498, Japan.
**Surgery 2000;128:116-20
Identification
Copyright
© 2000 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
