[Intracavitary transposition of the gracilis muscle for the treatment of delayed perineal healing after rectal amputation].
Delayed perineal healing after rectal amputation is sometimes difficult to resolve. Details are given of a method of transplantation into the residual perineal cavity of one or both gracilis muscles to obtain rapid healing by granulation tissue. Preparatives for the operative are discussed together with the different stages required, particularly preparation of the transplant and its transposition to perineal cavity, and postoperative surveillance outlined. Rapid healing by scar tissue can be obtained by this simple procedure which can also be applied for treatment of vesicovaginal, rectovesical or rectovaginal fistula.
Sava
P
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Clinique Universitaire de Chirurgie Digestive, Centre Hospitalier Régional et Universitaire, Limoges.
D000671:Amputation, Surgical; D006801:Humans; D009132:Muscles / Q000601:surgery; D010502:Perineum / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D013524:Surgical Flaps; D013848:Thigh; D014945:Wound Healing
Transposition intra-cavitaire du muscle droit interne pour traitement des retards de cicatrisation périnéale après amputation rectale.