| Reoperation by anterior perineal approach for missed puborectalis. | |
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MedLine Citation:
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PMID: 3656028 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Poor postoperative continence in patients operated for high imperforate anus may result from an inadequate bowel pull-through behind the puborectal muscle. Between 1979 and 1983, we used the anterior perineal approach for reoperations in five such cases (3 males, 2 females). In all of them, preoperative continence was socially unacceptable. Each time it was possible to identify a partially or totally missed puborectal muscle. Although some complications occurred postoperatively, all patients acquired a socially acceptable level of continence with a mean follow-up of 4.5 years. Preoperative and postoperative rectal manometries are presented. The anterior perineal approach not only provides adequate exposure of the urethra and puborectal muscle, but also has the advantage of operating through an area that has not been previously dissected. |
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Authors:
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J Bass; S Yazbeck |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of pediatric surgery Volume: 22 ISSN: 0022-3468 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 1987 Aug |
Date Detail:
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Created Date: 1987-11-17 Completed Date: 1987-11-17 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 761-3 Citation Subset: IM |
Affiliation:
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Department of Surgery, Hôpital Ste-Justine, University of Montreal, Quebec, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Anus, Imperforate / surgery* Child Fecal Incontinence / etiology, surgery Female Humans Male Muscles / surgery* Pelvis / surgery Perineum Postoperative Complications / surgery Reoperation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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