[Smooth-muscle sphincteroplasty in constructing a colostomy].
A method is described for producing continent colostomal by smooth-muscle sphincteroplasty. There are variants of operative technique: autogenic smooth-muscle intestinal grafting and pediculated plasty. A 10 cm long intestinal segment is split along the free tenia, mucosectomized and wrapped around the precolostomal part of the colon. Essential element of the operation is the 100 per cent stretching of the seromuscular flap when fixed. A tight sphincter-like cuff results. The method is unassociated with specific complications. The first impressions of the sphincteroplasty with encouraging results are recorded. In cases when no sphincter effect was obtained there was inadequacy in some elements of the operation. Then the stoma functions as a conventional one.
Deliĭski
T
T
Kunts
E
E
Kovachev
L
L
D003125:Colostomy / Q000379:methods*; D006801:Humans; D007413:Intestinal Mucosa / Q000601:surgery; D009130:Muscle, Smooth / Q000637:transplantation*; D013524:Surgical Flaps / Q000379:methods; D013536:Suture Techniques; D014182:Transplantation, Autologous
Gladkomuskulna sfinkteroplastika pri izvezhdane na kolostoma.