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Gracilis muscle transposition for faecal incontinence.
J Christiansen1, M Sørensen, O O Rasmussen
1Department of Surgery D, Glostrup Hospital, University of Copenhagen, Denmark.
The British Journal of Surgery
|September 1, 1990
Summary
Gracilis muscle transposition surgery can improve fecal incontinence for some patients. While not restoring normal continence, it enhances maximum squeeze pressure and rectal fluid retention in selected individuals.
Area of Science:
- Colorectal Surgery
- Pelvic Floor Reconstruction
- Fecal Incontinence Treatment
Background:
- Fecal incontinence significantly impacts quality of life.
- Current surgical options for fecal incontinence have limitations.
Purpose of the Study:
- To evaluate the efficacy of gracilis muscle transposition for treating fecal incontinence.
- To assess functional outcomes and anal manometry parameters post-surgery.
Main Methods:
- Gracilis muscle transposition was performed in 13 patients with fecal incontinence.
- Anal manometry and rectal viscous fluid retention tests were conducted.
- Outcomes were compared to a control group.
Main Results:
- Six patients achieved satisfactory continence, and four showed improvement.
- Maximum squeeze pressure increased significantly (P=0.041) but remained lower than controls.
- Rectal viscous fluid retention was reduced compared to the control group.
Conclusions:
- Gracilis muscle transposition can lead to acceptable continence in selected patients.
- Careful surgical technique and postoperative exercises are crucial for optimal results.
- The procedure does not restore normal continence but offers functional improvement.