title: Reverse smooth muscle plasty: a new method of treating anorectal incontinence in infants with high anal and rectal atresia.
abstract: A new technique of treating anorectal incontinence in infants with high anal and rectal atresia is described. In the first stage of this new operation an abdominosacroperineal pull-through procedure according to Rehbein, Romualdi, and Kiesewetter is performed. In the next step of this new method the circular and longitudinal muscle layers of the pulled-through colon are turned back 180 degree and fixed to the pulled-through bowel. The mucosa of the turned back bowel is removed. Then the whole muscle cuff is re-pulled into the puborectalis sling. Pressure studies as well as X-ray investigations showed a good sphincter function of the newly established internal sphincter equivalent.
mesh_terms: D001003:Anal Canal / Q000002:abnormalities* / Q000601:surgery*; D003106:Colon / Q000601:surgery; D005242:Fecal Incontinence / Q000601:surgery*; D006801:Humans; D007223:Infant; D007409:Intestinal Atresia / Q000601:surgery*; D008722:Methods; D009130:Muscle, Smooth / Q000637:transplantation*; D012007:Rectum / Q000002:abnormalities