Titre du document / Document title

Considerations on stimulated anal neosphincter formation : An anatomic investigation in search of alternatives to the gracilis muscle. Discussion

Auteur(s) / Author(s)

GIRSCH W. ; RAB M. ; MADER N. ; KAMOLZ L.-P. ; HAUSNER T. ; SCHIMA W. ; GRUBER H. ; WEXNER S. D. (Commentateur) ⁽¹⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Department of Colorectal Surgery, Cleveland Clinic Florida, Fort Lauderdale, Fla. 33309, ETATS-UNIS
Department of Plastic and Reconstructive Surgery, the Institute of Anatomy, Department 3, and the Department of Radiology, Division of Surgery, at the Medical School at the University of Vienna, AUTRICHE

Résumé / Abstract

Electrically stimulated anal neosphincter formation with transposed gracilis is performed clinically in an increasing number of patients. The use of a stimulated gluteus maximus in this application has been reported also. The question arises whether or not an optimal design for such a procedure has already been ascertained. An anatomic study was performed on 30 human cadavers to evaluate the semitendinosus muscle and its suitability for construction of a stimulated anal neosphincter. Semitendinosus fulfilled requirements for transposition around the anal canal in all cases. The muscle length was found adequate for transposition; nerve and vascular supply provided a suitable arc of rotation. The pattern of innervation might allow selective stimulation of that particular part of the muscle, which is intended to restore sphincter function. For clinical application, a vascular delay procedure is strongly recommended.

Revue / Journal Title

Plastic and reconstructive surgery   ISSN 0032-1052 

Source / Source

1998, vol. 101, n^o4, pp. 889-898 (45 ref.)

Langue / Language

Anglais

Editeur / Publisher

Lippincott Williams & Wilkins, Hagerstown, MD, ETATS-UNIS  (1963) (Revue)

Mots-clés anglais / English Keywords

Reconstruction ; Anal sphincter ; Flap (surgery) ; Biceps femoris muscle ; Stimulation ; Electric ; Anatomy ; Vascularization ; Innervation ; Experimental study ; Treatment ; Technique ; Result ; Human ; Cadaver ; Plastic surgery ; Surgery ;

Mots-clés français / French Keywords

Reconstruction ; Sphincter anal ; Lambeau ; Muscle biceps crural ; Stimulation ; Electrique ; Anatomie ; Vascularisation ; Innervation ; Etude expérimentale ; Traitement ; Technique ; Résultat ; Homme ; Cadavre ; Chirurgie plastique ; Chirurgie ;

Mots-clés espagnols / Spanish Keywords

Reconstrucción ; Esfínter anal ; Colgajo ; Músculo biceps crural ; Estimulación ; Eléctrico ; Anatomía ; Vascularización ; Inervación ; Estudio experimental ; Tratamiento ; Técnica ; Resultado ; Hombre ; Cadáver ; Cirugía plástica ; Cirugía ;

Localisation / Location

INIST-CNRS, Cote INIST : 11075, 35400007924252.0010