title: [Treatment results following the pull-through operation and continence-improving operations in high anal and rectum atresia].
abstract: Of 174 patients with anorectal malformations, among them 71 children with high atresia, 59 patients could be followed-up. 57% were entirely incontinent according to electromanometrical findings. These patients necessarily needed sphincter-replacement operations to improve the function of the sphincter-apparatus. Eighty-one sphincter-replacement operations were performed in 68 patients, among them 56 gracilis transplantations, 12 palmaris-longus transplantations, and 4 stalked smooth muscle transplantations. All sphincter replacement operations improved continence considerably.
mesh_terms: D000293:Adolescent; D000328:Adult; D001006:Anus, Imperforate / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005242:Fecal Incontinence / Q000517:prevention & control*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control / Q000601:surgery; D012007:Rectum / Q000002:abnormalities*; D013524:Surgical Flaps
vernacular_title: Behandlungsergebnisse nach der Durchzugsoperation und nach kontinenzverbessernden Operationen bei hoher Anal- und Rektumatresie.