Surgical alternatives in anal sphincter reconstruction

David A. Etzioni, Michael J. Stamos

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

This chapter outlines the surgical alternatives in the management of the incontinent patient, detailing the results of stimulated and unstimulated graciloplasties and gluteus muscle transposition. Muscle transpositions have documented effectiveness as reconstructive procedures in the treatment of fecal incontinence. These procedures are technically challenging and carry a distinct probability of morbidity, although there is a significant body of literature that finds an equivalent quality of life for patients with a colostomy versus imperfect anorectal function after reconstructed sphincter preservation. The coloproctologist must incorporate the range of muscle transpositions in selected (often reoperated) cases as part of their surgical armamentarium.

Original languageEnglish (US)
Title of host publicationReconstructive Surgery of the Rectum, Anus and Perineum
PublisherSpringer-Verlag London Ltd
Pages349-354
Number of pages6
ISBN (Electronic)9781848824133
ISBN (Print)9781848824126
DOIs
StatePublished - Jan 1 2013

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Keywords

  • Anal sphincter
  • Cleveland Clinic scoring system
  • Dynamic graciloplasty
  • Fecal incontinence
  • Fecal incontinence quality of life scale
  • Fecal incontinence severity index
  • Gluteus muscle transposition
  • Graciloplasty

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Etzioni, D. A., & Stamos, M. J. (2013). Surgical alternatives in anal sphincter reconstruction. In Reconstructive Surgery of the Rectum, Anus and Perineum (pp. 349-354). Springer-Verlag London Ltd. https://doi.org/10.1007/978-1-84882-413-3_32