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Sphincter Substitutes in Ostomies — Indications, Technique, Results

  • H.-P. Bruch
  • E. Schmidt
  • E. Kern

Abstract

Sphincteroplasties can generally be applied to all colostomies, ileostomies, gastric fistulas, incontinent bladders, the incontinent anus, and the incompetent gastric cardia. There are only some contraindications for sphincteroplasty. In cases of ileus, where the distended bowel cannot be decompressed proximally (by means of manipulation and gastric tube suction), a sphincteroplasty should not be performed primarily. If a sphincteroplasty is desired by the patient, a second transforming operation should be performed. Extensive diverticulosis of the colon is not a contraindication, provided that the affected segment is resected. The sphincteroplasty itself can be taken from bowel affected with diverticulosis, since its muscle is especially well developed and therefore particularly suited for sphincter function.

Keywords

Incontinent Anus Distended Bowel Gastric Fistula Continent Ileostomy Transforming Operation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Bruch, H.-P., Schmidt, E.: Unpubl. results (1980).Google Scholar
  2. 2.
    Bruch, H.-P., Schmidt, E., Rothhammer, A., Galandiuk, S.: ESR 12, 4, 233–241 (1980).Google Scholar
  3. 3.
    Schmidt, E., Bruch, H.-P., Greulich, M., Rothhammer, A., Romen, W.: Chirurg 50, 96–100 (1979).PubMedGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1981

Authors and Affiliations

  • H.-P. Bruch
    • 1
    • 2
  • E. Schmidt
    • 1
  • E. Kern
    • 1
  1. 1.Department of SurgeryWürzburg UniversityFederal Republic of Germany
  2. 2.Chirurgische UniversitätsklinikWürzburgFederal Republic of Germany

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