Free autogenous muscle transplantation in children. Long-term results.
For more than 15 years we have been using free muscle transplantation in the treatment of anal incontinence in children. This method implies transposition of a striated muscle, usually the palmaris longus, two weeks after denervation, to the perirectal area as a U-sling around the rectum corresponding to the location of the so-called puborectalis muscle. We have now evaluated the long-term results in all 26 children operated on by this method. Before the operation all children were totally incontinent after a primary repair. At follow-up after an average of 11 years and 4 months, 60% of the cases were regarded as good, 16% as fair, 8% as improved and 16% as failures. In our opinion, free muscle transplantation offers a good chance of achieving acceptable continence in a majority of incontinent children.
Hakelius
L
L
Department of Plastic and Hand Surgery, University Hospital, Uppsala, Sweden.
Olsen
L
L
D000293:Adolescent; D002648:Child; D005242:Fecal Incontinence / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006811:Humerus; D008297:Male; D009132:Muscles / Q000637:transplantation*; D017060:Patient Satisfaction; D014182:Transplantation, Autologous