[Dynamic gracilis muscle-plasty--a case report].
The feasibility of anal dynamic graciloplasty (transposition of the gracilis muscle and subsequent implantation of a stimulation device) to restore continence, was assessed in a 71 year old patient. Anal dynamic graciloplasty was capable to achieve continence by increasing the sphincter tone from 35 mm Hg without stimulation to 110 mm Hg with stimulation. The clinical results and anal manometry data are described and the pros and cons of the procedure are discussed.
Köhler
L
L
II. Lehrstuhl für Chirurgie, Universität zu Köln, Krankenhaus Merheim.
Mennigen
R
R
Troidl
H
H
D018253:Adenoma, Villous / Q000503:physiopathology / Q000601:surgery*; D000368:Aged; D001003:Anal Canal / Q000503:physiopathology / Q000601:surgery*; D004599:Electric Stimulation Therapy / Q000295:instrumentation; D005242:Fecal Incontinence / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008365:Manometry; D009129:Muscle Tonus / Q000502:physiology; D018482:Muscle, Skeletal / Q000503:physiopathology / Q000637:transplantation*; D019736:Prostheses and Implants; D012004:Rectal Neoplasms / Q000503:physiopathology / Q000601:surgery*