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Experimental and Anatomical Basis for Reconstruction of Anal Sphincter Musculature Employing Gracilis Muscle Grafts With Intact Neurovascular Supply

  • M. Grim
  • L. Dittertová
  • R. Vejsada
  • P. Hník
  • K. SmetanaJr.
  • P. Haninec

Abstract

The surgical solution of anal incontinence by employing muscle grafting has already been attempted by many authors. Only a few of the procedures, however, have been based on experimental data (Freilinger et al., 1974; Holle et al., 1975; Hakelius, 1975; Hakelius et al., 1978). These authors have substituted a predenervated free graft (Thompson, 1971), which subsequently becomes reinnervated in situ from neighbouring muscles, for the deficient sphincter musculature. The methods cannot, therefore, be employed in cases with missing or impaired innervation of the perianal region. Our report presents a procedure, based upon experimental and anatomical results, that is suitable even for patients with impaired muscle innervation in the perianal region.

Keywords

Anal Sphincter External Anal Sphincter Anal Incontinence Perianal Region Gracilis Muscle 
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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Copyright information

© Springer-Verlag/Wien 1981

Authors and Affiliations

  • M. Grim
    • 1
    • 2
    • 3
  • L. Dittertová
    • 1
    • 2
    • 3
  • R. Vejsada
    • 1
    • 2
    • 3
  • P. Hník
    • 1
    • 2
    • 3
  • K. SmetanaJr.
    • 1
    • 2
    • 3
  • P. Haninec
    • 1
    • 2
    • 3
  1. 1.Department of Anatomy, Faculty of MedicineCharles UniversityPrague 2Czechoslovakia
  2. 2.Department of Pediatric SurgeryFaculty of PediatricsPragueCzechoslovakia
  3. 3.Institute of PhysiologyCzechoslovak Academy of SciencePragueCzechoslovakia

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