title: [The results of the formation of a new anal sphincter by using the mm. graciles in acquired anal incontinence].
abstract: The operative method of Pickrell for shaping a new anal sphincter from mm.graciles is described, emphasizing the refinements which the authors have introduced in it. In mobilizing the muscle, fascial fibers are left on both sides of the vascular-nervous bundle. They prevent the latter from overdistension when the muscle turns around the anal canal. Two arcuate lateral sections are made in the perianal area; this is followed by driving a subcutaneous tunnel, but under the perineal raphe and the anococcygeal ligaments. The two muscles are perianally wound each on 360 degrees, whereby m.gracilis dex. is fixed to tub. ossis ischii sin. and m.gracilis sin. is fixed to tub. ossis ischii dex. Before being fixed, the tendon end is inserted in the subperiosteal bone tunnel. When the tendon of the muscle is shorter, it may successfully be elongated by the explantoplast Ampoxen (applied in 3 patients). A total of 16 patients were treated. The result was good in 15 (93.8 per cent) and unsatisfactory in 1 (6.2 per cent).
authors.forename: V
authors.initials: V
authors.lastname: Dimitrov
authors.forename: Z
authors.initials: Z
authors.lastname: Dudunkov
authors.forename: K
authors.initials: K
authors.lastname: Ralchev
mesh_terms: D001003:Anal Canal / Q000601:surgery*; D002209:Caprolactam / Q000031:analogs & derivatives; D005242:Fecal Incontinence / Q000601:surgery*; D006801:Humans; D008722:Methods; D009132:Muscles / Q000637:transplantation*; D010502:Perineum / Q000601:surgery; D011108:Polymers; D013526:Surgical Mesh; D013536:Suture Techniques; D013710:Tendons / Q000601:surgery
chemical_list: D011108:Polymers; C009916:nylon 6; D002209:Caprolactam
vernacular_title: Rezultati ot oformianeto na nov analen sfinkter chrez izpolzvane na mm. graciles pri pridobita analna inkontinentsiia.