Document Detail

Dynamic graciloplasty resulting fecal continence without electrical stimulation: report of a case.
MedLine Citation:
PMID:  15108091     Owner:  NLM     Status:  MEDLINE    
A 32 year-old man received dynamic graciloplasty for fecal incontinence due to a pelvic fracture. The perception of stool was obtained soon after the colostomy closure. Defecography and a manometric study showed that the patient could contract the transposed gracilis muscle independently. While the resting anal canal pressure remained low (52 cmH(2)O), he maintained excellent continence without stimulation. When stimulated, the anal canal pressure rose to 112 cmH(2)O. Electrical stimulation is therefore not always necessary for a good function after dynamic graciloplasty.
Tomoo Shatari; Masanobu Fujita; Susumu Kodaira
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  34     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2004  
Date Detail:
Created Date:  2004-04-26     Completed Date:  2004-09-10     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  463-5     Citation Subset:  IM    
Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
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MeSH Terms
Anal Canal / physiopathology,  surgery*
Defecation / physiology
Electric Stimulation Therapy
Fecal Incontinence / physiopathology,  surgery*
Muscle Contraction / physiology
Muscle, Skeletal / physiology,  transplantation*

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