title: [Modification of rehabilitation stage after inter-sphincter resection of the rectum].
abstract: Endoscopic ultrasonic examination for diagnosis of malignant tumors of a lower-ampullar part of the rectum determined indications to inter-sphincter resection consisting in total mesorectumectomy, resection of the rectum and internal sphincter. The method of creation of a globe-shape reservoir with artificial muscular sphincter was developed. Fourteen patients underwent surgery, the follow-up was up to 3,5 years. It is demonstrated that a globe-shape extensible reservoir and autonomic bloching function of muscular sphincter are the main conditions of repair of defecation functions in long-term period after inter-sphincter resection.
authors.forename: G K
authors.initials: GK
authors.lastname: Zherlov
authors.forename: S R
authors.initials: SR
authors.lastname: Bashirov
authors.forename: I V
authors.initials: IV
authors.lastname: Pankratov
mesh_terms: D001003:Anal Canal / Q000473:pathology / Q000601:surgery*; D003113:Colonoscopy / Q000379:methods*; D003672:Defecation; D006801:Humans; D009361:Neoplasm Invasiveness; D011182:Postoperative Care; D012004:Rectal Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D014463:Ultrasonography