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[New surgical technic in megarectum].

Y Hata, Y Shinada, F Sasaki

    Chirurgie Pediatrique
    |January 1, 1986
    PubMed
    Summary

    A novel sphinctero-myectomy and plasty procedure offers promising results for treating megarectum associated with chronic constipation. This surgical approach demonstrated a high success rate in a recent clinical study.

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    Area of Science:

    • Colorectal Surgery
    • Gastroenterology
    • Surgical Innovation

    Context:

    • Idiopathic chronic constipation with megarectum often presents challenges for surgical management.
    • Existing sphinctero-myectomy techniques for megarectum yield variable outcomes.

    Purpose:

    • To introduce and evaluate a novel surgical technique, termed sphinctero-myectomy and plasty, for treating patients with idiopathic chronic constipation and megarectum.

    Summary:

    • The study involved ten patients with idiopathic chronic constipation and megarectum who underwent the new procedure.
    • The technique involves anal dilatation, a specific sphincterotomy, and rectal pull-through anastomosis.
    • Post-operative evaluation over one year showed complete cure in 70% and marked improvement in 30% of cases.

    Impact:

    • The described sphinctero-myectomy and plasty procedure shows significant potential as an effective treatment for chronic constipation due to megarectum.
    • This surgical innovation may offer a superior alternative for managing complex cases of megarectum.

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