A wrap-around procedure using the gluteus maximus muscle for the functional reconstruction of the sphincter in a case of anal incontinence.
A successful case in which a wrap-around procedure using the gluteus maximus muscle for the functional reconstruction of anal incontinence has been described. The case was a 38-year-old woman whose sphincter ani muscle was severed by the perineal incision at the time of delivery. Muscle-tightening of the levator ani and sphincter ani muscles was performed, and the distally based bilaterally split gluteus maximus muscle flap produced a forceful rectal contracting function.
Onishi
K
K
Maruyama
Y
Y
Shiba
T
T
D000328:Adult; D001003:Anal Canal / Q000601:surgery*; D002081:Buttocks; D005242:Fecal Incontinence / Q000601:surgery*; D005260:Female; D006801:Humans; D009132:Muscles / Q000601:surgery*; D013524:Surgical Flaps