Gracilis Muscle Neosphincter As A Surgical Management of Traumatic Fecal Incontinence
Article Sidebar
Main Article Content
Abstract
Faecal incontinence after obstetric trauma is a distressing condition that profoundly impacts patients' daily lives. Traditional management approaches often fail to provide satisfactory outcomes, particularly in cases where the anal sphincter complex is compromised. This abstract summarizes the challenges and advancements in managing faecal incontinence following obstetric trauma, highlighting the importance of a multidisciplinary approach involving surgical interventions. We present a case of young lady suffered from faecal incontinence after traumatic delivery which opted a corrective surgery as a treatment option for faecal incontinence post obstetric trauma. Additionally, we discuss the role of gracilis muscle neo sphincter reconstruction as a promising surgical technique in restoring faecal continence in refractory cases. Through a review of pertinent literature and illustrative case reports, we underscore the significance of early diagnosis, individualized treatment strategies, and ongoing research efforts aimed at improving outcomes and quality of life for affected individuals.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an open-access journal, which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is under the BOAI definition of open access.
The journal is adopting the Creative Commons International Attribution 4. CC Attribution-NonCommercial 4.0CC BY-NC 4.0]
You are free to:
- Share— copy and redistribute the material in any medium or format
- Adapt— remix, transform, and build upon the material
- for any purpose
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
-
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes .
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
- https://creativecommons.org/licenses/by-nc/4.0/
References
Laine K, Gissler M, Pirhonen J. Changing incidence of anal sphincter tears in four Nordic
countries through the last decades. European Journal of Obstetrics & Gynecology and
Reproductive Biology. 2009;146(1):71-5.
Dudding TC, Vaizey CJ, Kamm MA. Obstetric anal sphincter injury: incidence, risk factors,
and management. Annals of surgery. 2008;247(2):224-37.
Rasmussen OØ, Puggaard L, Christiansen J. Anal sphincter repair in patients with obstetric
trauma: age affects outcome. Diseases of the colon & rectum. 1999;42(2):193-5.
Barisic GI, Krivokapic ZV, Markovic VA, Popovic MA. Outcome of overlapping anal sphincter
repair after 3 months and after a mean of 80 months. International journal of colorectal
disease. 2006;21:52-6.
Zorcolo L, Covotta L, Bartolo DC. Outcome of anterior sphincter repair for obstetric injury:
comparison of early and late results. Diseases of the colon & rectum. 2005;48(3):524-31.
Glasgow SC, Lowry AC. Long-term outcomes of anal sphincter repair for fecal incontinence:
a systematic review. Diseases of the colon & rectum. 2012;55(4):482-90.
PICKRELL K, MASTERS F, GEORGIADE N, HORTON C. Rectal sphincter reconstruction using
gracilis muscle transplant. Plastic and Reconstructive Surgery. 1954;13(1):46-55.