Creation of an anal sphincter mechanism by bilateral proximally based gluteal muscle transposition.
A case report is given of a girl who, at the age of 17 years, lost her total posterior part of her perineum in a traffic accident. She was left with out an anal sphincter mechanism and a diverting sigmoidostomy was performed. Two years after the accident a new anal sphincter was constructed using bilateral transposition flaps of the gluteus maximus muscles. After 6 months of active training of this new "reanastomosed". The patient thereafter regained complete fecal continence by the natural route.
D000063:Accidents, Traffic; D000293:Adolescent; D001003:Anal Canal / Q000502:physiology / Q000601:surgery*; D012809:Colon, Sigmoid / Q000601:surgery; D005242:Fecal Incontinence / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D008297:Male; D010502:Perineum / Q000293:injuries; D012007:Rectum / Q000601:surgery; D013524:Surgical Flaps