Is fecal continence improved by nonstimulated gracilis muscle transposition?

1994 ◽  
Vol 37 (10) ◽  
pp. 979-983 ◽  
Author(s):  
Jean-Luc Faucheron ◽  
Laurent Hannoun ◽  
Cyril Thome ◽  
Rolland Parc
Keyword(s):  
Fecal Continence ◽  
Gracilis Muscle ◽  
Muscle Transposition

Gracilis Muscle Transposition for Fistulas Between the Rectum and Urethra or Vagina

2006 ◽  
Vol 49 (9) ◽  
pp. 1316-1321 ◽  
Author(s):  
Osnat Zmora ◽  
Hagit Tulchinsky ◽  
Eyal Gur ◽  
Gideon Goldman ◽  
Joseph M. Klausner ◽  
...  
Keyword(s):  
Gracilis Muscle ◽  
Muscle Transposition

Redo Gracilis Muscle Transposition for Recurrent Complex Pouch–Vaginal Fistula: A Feasible and Effective Pouch Salvage Surgical Procedure

2017 ◽  
Vol 83 (12) ◽  
pp. 488-489
Author(s):  
Carlo Vallicelli ◽  
Matteo Rottoli ◽  
Luca Boschi ◽  
Riccardo Cipriani ◽  
Gilberto Poggioli
Keyword(s):  
Surgical Procedure ◽  
Gracilis Muscle ◽  
Vaginal Fistula ◽  
Muscle Transposition ◽  
Pouch Salvage

Reconstruction of Anal Function by Transposed Gracilis Muscle with Electral Stimulation: Rabbit Model

1994 ◽  
Vol 17 (4) ◽  
pp. 240-244 ◽  
Author(s):  
T. Shatari ◽  
Y. Sugiyama ◽  
T. Teramoto ◽  
M. Kitajima ◽  
H. Minamitani
Keyword(s):  
White Male ◽  
Rabbit Model ◽  
Low Frequency ◽  
Fecal Continence ◽  
Gracilis Muscle ◽  
Conditioning Group ◽  
Tetanic Contraction ◽  
Anal Function ◽  
Basal Pressure ◽  
Resting Pressure

For the reconstruction of anal function for fecally incontinent patients, it could be practicable to transpose the gracilis muscle around the anal canal, with electrical stimulation to maintain contraction. It is necessary to keep continuous tonus, so tetanic contraction or “summation” would be essential for fecal continence, with a stimulation which permits prolonged contraction. Transposition of the gracilis muscle around the rectum was performed in thirteen Japanese white male rabbits. The muscles of the conditioning group (n=8) were stimulated at 10 Hz for 6 weeks before the procedure. By stimulation at 15 Hz, a low frequency to permit prolonged contraction, the neoanal pressure increased maximally to 134.2 ± 55.6 cmH2O (mean ± s.d.) in the conditioning group, and to 115.0 ± 37.1 cmH2O in the non-conditionin group (n=5) (N.S.). But, the basal pressure with stimulation rose 82.3 ± 12.4% (mean ± s.d.) of the increase in the conditioning group, while that of the non-conditioning group remained at resting pressure (p<0.001). The conditioning made it possible for the rabbit's gracilis muscle to create anal pressure with a sufficient rise in the basal pressure at a frequency permitting prolonged contraction.

Gracilis muscle transposition for anal incontinence in children: Long-term follow-up

1991 ◽  
Vol 26 (10) ◽  
pp. 1219-1223 ◽  
Author(s):  
Roberta E. Sonnino ◽  
Olivier Reinberg ◽  
AriéL. Bensoussan ◽  
Jean-Martin Laberge ◽  
Hervé Blanchard
Keyword(s):  
Anal Incontinence ◽  
Gracilis Muscle ◽  
Muscle Transposition ◽  
Long Term Follow Up
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