Gluteus maximus neosphincter is a viable option for patients with end-stage fecal incontinence

2000 ◽  
Vol 43 (11) ◽  
pp. 1635 ◽  
Author(s):  
Ahmed A. Abou-Zeid ◽  
Deya M. Marzouk
2014 ◽  
Vol 57 (2) ◽  
pp. 215-222 ◽  
Author(s):  
Derek J. Boyle ◽  
Jamie Murphy ◽  
Alexander Hotouras ◽  
Marion E. Allison ◽  
Norman S. Williams ◽  
...  
Keyword(s):  

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Piotr Walega ◽  
Michal Romaniszyn ◽  
Benita Siarkiewicz ◽  
Dorota Zelazny

Purpose. The aim of the study is to compare functional results of end-stage fecal incontinence treatment with dynamic graciloplasty and adynamic graciloplasty augmented with transanal conditioning of the transposed muscle.Methods. A total of 20 patients were qualified for graciloplasty procedure due to end-stage fecal incontinence. 7 patients underwent dynamic graciloplasty (DGP), whereas 13 patients were treated with adynamic graciloplasty, with transanal stimulation in the postoperative period (AGP). Clinical, functional, and quality of life assessments were performed 3, 6, and 12 months after the procedures.Results. There were no intraoperative or early postoperative complications. The detachment of gracilis muscle tendon was observed in one patient in DGP group and two in AGP group. There was a significant improvement of Fecal Incontinence Quality of Life (FIQL) and Fecal Incontinence Severity Index (FISI) scores in both groups 12 months after procedure. Anorectal manometry showed improvement regarding basal and squeeze pressures in both groups, with significantly better squeeze pressures in AGP group.Conclusions. The functional effects in the DGP and AGP groups were similar. Significantly lower price of the procedure and avoidance of implant-related complication risk suggest the attractiveness of the AGP method augmented by transanal stimulation.


2004 ◽  
Vol 14 (S1) ◽  
pp. 88-92 ◽  
Author(s):  
Alfred Asante-Korang

Transplantation of the heart remains a viable option not only as primary treatment for hypoplastic left heart syndrome, but also for end-stage problems after the Norwood sequence of palliations. In this review, I discuss the pre-operative, intra-operative, and post-operative echocardiographic evaluation of these patients, with special emphasis on hemodynamic and functional assessment as well as surveillance for rejection and coronary arterial disease.


1992 ◽  
Vol 35 (4) ◽  
pp. 339-349 ◽  
Author(s):  
J. M. Devesa ◽  
E. Vicente ◽  
J. M. Enríquez ◽  
J. Nuño ◽  
P. Bucheli ◽  
...  

2015 ◽  
Vol 26 (5) ◽  
pp. 906 ◽  
Author(s):  
Anupma Kaul ◽  
R Dharshan ◽  
Dharmendra Bhadhuaria ◽  
Narayan Prasad ◽  
Amit Gupta ◽  
...  

1997 ◽  
Vol 32 (7) ◽  
pp. 1045-1048 ◽  
Author(s):  
John J Meehan ◽  
William D Hardin ◽  
Keith E Georgeson

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