Surgical alternatives in anal sphincter reconstruction

David A. Etzioni; Michael J. Stamos

doi:10.1007/978-1-84882-413-3_32

Surgical alternatives in anal sphincter reconstruction

David A. Etzioni, Michael J. Stamos

Colon and Rectal Surgery

Research output: Chapter in Book/Report/Conference proceeding › Chapter

1 Scopus citations

Abstract

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.

Original language	English (US)
Title of host publication	Reconstructive Surgery of the Rectum, Anus and Perineum
Publisher	Springer-Verlag London Ltd
Pages	349-354
Number of pages	6
ISBN (Electronic)	9781848824133
ISBN (Print)	9781848824126
DOIs	https://doi.org/10.1007/978-1-84882-413-3_32
State	Published - Jan 1 2013

Keywords

Anal sphincter
Cleveland Clinic scoring system
Dynamic graciloplasty
Fecal incontinence
Fecal incontinence quality of life scale
Fecal incontinence severity index
Gluteus muscle transposition
Graciloplasty

ASJC Scopus subject areas

Medicine(all)

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10.1007/978-1-84882-413-3_32

Cite this

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abstract = "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.",

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Surgical alternatives in anal sphincter reconstruction

Abstract

Keywords

ASJC Scopus subject areas

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