title: Use of a gracilis muscle flap to facilitate delayed ileal pouch-anal anastomosis.
abstract: Failure of an ileal pouch-anal anastomosis may result in unsuccessful completion of the anastomosis or removal of an ischemic pouch. We report a technique for preservation of the muscular wall of the rectum after mucosal dissection, which allowed a successful delayed pull-through.
authors.affiliation: Department of Surgery at Children's Hospital and Harvard Medical School, Boston, Massachusetts 02115, USA.
authors.forename: R C
authors.initials: RC
authors.lastname: Shamberger
authors.forename: C A
authors.initials: CA
authors.lastname: Hergrueter
authors.forename: C W
authors.initials: CW
authors.lastname: Lillehei
mesh_terms: D000293:Adolescent; D003093:Colitis, Ulcerative / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery; D008297:Male; D018482:Muscle, Skeletal / Q000637:transplantation*; D016737:Proctocolectomy, Restorative / Q000009:adverse effects*; D012086:Reoperation; D013524:Surgical Flaps; D017211:Treatment Failure