Skip to main content

Abstract

As has been stressed before, many patients with incontinence have general problems of old age and ill-health that make them unsuitable for major operative procedures. Some of them have specific health problems (e.g. cardio-respiratory, endocrine or metabolic) that rule out procedures that are better in design but more hazardous in execution. In some countries conditions of life prohibit the luxury of expensive materials or prolonged hospital-related care. Facilities for general anaesthetics may not be available.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References and Further Reading

  1. Bellomo R (1988) Sphincter incontinence: a personal technique. Colo-Proctology 10: 383

    Google Scholar 

  2. Corman ML (1980) Follow-up evaluation of gracilis muscle transposition for faecal incontinence. Dis Colon Rectum 23: 552

    Article  PubMed  CAS  Google Scholar 

  3. Corman ML (1983) The management of anal incontinence. Surg Clin North Am 63: 177

    PubMed  CAS  Google Scholar 

  4. Corman ML (1985) Gracilis muscle transposition for anal incontinence: late results. Br J Surg 72: (Suppl) pp 21–22

    Article  Google Scholar 

  5. Corman ML (1989) Colon and rectal surgery, 2nd edn. Lippincott, Philadelphia, pp 192–200

    Google Scholar 

  6. Gabriel WB (1963) The principles and practice of rectal surgery, 5th edn. HK Lewis, London, pp 106–132

    Google Scholar 

  7. Goligher J (1985) Surgery of the anus, rectum and colon, 5th edn. Balliere Tindall, London, pp 257–260

    Google Scholar 

  8. Horn HR, Schoetz DJ Jr, Coller JA, Veidenheimer MC (1985) Sphincter repair with a silastic sling for anal incontinence and rectal procidentia. Dis Colon Rectum 28: 868

    Article  PubMed  CAS  Google Scholar 

  9. Kalisman M, Sharzer LA (1981) Anal sphincter reconstruction and perineal resurfacing with a gracilis myocutaneous flap. Dis Colon Rectum 24: 529

    Article  PubMed  CAS  Google Scholar 

  10. Labow SB, Rubin RJ, Hoexter B, Salvati EP (1980) Perineal repair of rectal procidentia with an elastic fabric sling. Dis Colon Rectum 23: 467

    Article  PubMed  CAS  Google Scholar 

  11. Labow SB, Hoexter B, Moseson MD et al. (1985) Modification of silastic sling repair for rectal procidentia and anal incontinence. Dis Colon Rectum 28: 684

    Article  PubMed  CAS  Google Scholar 

  12. Mann A (1970) Gracilis anoplasty: report of a successful case. Aust NZ J Surg 39: 405

    Article  CAS  Google Scholar 

  13. Mann CV, Hoffman C (1988) Complete rectal prolapse: the anatomical and functional results of treatment by an extended abdominal rectopexy. Br J Surg 175: 34

    Article  Google Scholar 

  14. Pickrell K, Broadbent TR, Masters FW, Metzger JJ (1952) Construction of a rectal sphincter and restoration of anal continence by transplanting gracilis muscle: a report of 4 cases in children. Ann Surg 135: 853

    Article  PubMed  CAS  Google Scholar 

  15. Plumley P (1966) A modification to Thiersch’s operation for rectal prolapse. Br J Surg 53: 624

    Article  Google Scholar 

  16. Saraffof D (1937) Ein einfaches ungerfahrliches Verfahren zur operativen Behandlung des Mastdarn-vorfalles. Arch Klin Chir 190: 219

    Google Scholar 

  17. Thiersch K (1891) quoted by Carrasoo AB (1934) Contribution à l’étude du prolapse du rectum. Masson, Paris

    Google Scholar 

  18. Williams NS, Hallan RI, Koeze TH, Watkins ES (1989) Construction of a neo-rectum and neo-anal sphincter following previous proctocolectomy. Br J Surg 76: 1191

    Article  PubMed  CAS  Google Scholar 

  19. Pickrell KL, Broadbent TR, Masters FW, Metzger J.J. (1952) Construction of a rectal sphincter and restoration of anal continence by transplanting the gracilis muscle in four cases in children. Annals of Surgery 135: 835

    Article  Google Scholar 

  20. Schwartz MS, Swash M, Ryan J (1991) Why is the gracilis muscle relatively uninvolved in neuromuscular disorders? Neuromusc Dis 1: 365

    Article  PubMed  CAS  Google Scholar 

  21. Salmons S, Vrbova G (1969) The influence of activity on the contractile characteristics of mammalian fast and slow muscle. J Physiol 201: 535–549

    PubMed  CAS  Google Scholar 

  22. Baeten C, Spaans F, Fluks A (1988) An implanted neuromuscular stimulator for fecal continence following previously implanted gracilis muscle. Report of a case. Dis Colon Rectum 31: 134

    Article  PubMed  CAS  Google Scholar 

  23. Williams NS, Hallan RI, Koeze TH, Pilot MA, Watkins ES (1990) Construction of a Neoanal Sphincter By Transposition of the Gracilis Muscle and Prolonged Neuromuscular Stimulation For the Treatment of Fecal Incontinence. Ann Roy Coll Surge Engl 72: 108

    Google Scholar 

  24. Williams NS, Hallan RI, Koeze TH, Watkins ES (1990) Restoration of gastrointestinal continuity and continence after abdominoperineal excision of the rectum using an electrically stimulated neoanal sphincter. Dis Colon Rectum 33: 561

    Article  PubMed  CAS  Google Scholar 

  25. Williams NS, Hallan RI, Koeze TH, Watkins ES (1989) Construction of a neorectum and neoanal sphincter following previous proctocolectomy [see comments]. Br J Surg 76: 1191

    Article  PubMed  CAS  Google Scholar 

  26. George BD, Williams NS, Patel J, Swash M, Watkins ES (1993) Physiological and Histochemical Adaptation of the Electrically Stimulated Gracilis Muscle to Neoanal Sphincter Function. Br J Surg 80: 1342

    Article  PubMed  CAS  Google Scholar 

  27. Williams NS, Patel J, George BD, Hallan RI, Watkins ES (1991) Development of an electrically stimulated neoanal sphincter. Lancet 338 (8776): 1166

    Article  PubMed  CAS  Google Scholar 

  28. Baeten CG, Geerdes BP, Adang EM, Heineman E, Konsten J, Engel GL, et al. (1995) Anal dynamic graciloplasty in the treatment of intractable fecal incontinence. New Engl J Med 332: 1600

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer-Verlag London Limited

About this chapter

Cite this chapter

Mann, C.V., Glass, R.E. (1997). Circum-anal Techniques. In: Surgical Treatment of Anal Incontinence. Springer, London. https://doi.org/10.1007/978-1-4471-0935-8_6

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-0935-8_6

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1239-6

  • Online ISBN: 978-1-4471-0935-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics