Long-term follow-up of gracilis muscle transposition in children.

S. J. Han, HyoJin Park, C. B. Kim, E. H. Hwang

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Sixteen children of uncontrollable fecal incontinence have been treated with Pickrell's gracilis muscle transposition since 1983: 12 had an imperforate anuses with multiple corrective operative procedures and 4 had traumatic destructions of anal sphincters. We report a series of 11 cases whom we followed-up over a period of 0.8 to 10.5 years (mean; 5.6 years). Seven patients were evaluated by anorectal manometry. All patients except one who had left hemipelvectomy and permanent colostomy showed nearly normal continence during the follow-up period. There was no evidence of fibrosis in the transposed muscles and the tensions of the transposed muscles were well maintained. The voluntary contractions of the transposed muscles were well maintained and efficient in all cases. The general manometric parameters did not correlate well with the functional results; however, there was a strong correlation in the S/R ratio (maximum squeeze pressure/resting pressure) with the functional results. We believe that the good functional outcome of this procedure need not only the meticulous surgical technique but also the personal motivation and the compliance with physiotherapy. In conclusion, although the gracilis muscle transposition never results in normal continence, acceptable continence can be achieved in the selected patients.

Original languageEnglish
Pages (from-to)372-377
Number of pages6
JournalYonsei Medical Journal
Volume36
Issue number4
DOIs
Publication statusPublished - 1995 Jan 1

Fingerprint

Hemipelvectomy
Pressure
Muscle Tonus
Fecal Incontinence
Colostomy
Operative Surgical Procedures
Manometry
Anal Canal
Muscle Contraction
Fibrosis
Muscles
Gracilis Muscle

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Han, S. J. ; Park, HyoJin ; Kim, C. B. ; Hwang, E. H. / Long-term follow-up of gracilis muscle transposition in children. In: Yonsei Medical Journal. 1995 ; Vol. 36, No. 4. pp. 372-377.
@article{e81324bb20504ea69c25e32cf1cc0819,
title = "Long-term follow-up of gracilis muscle transposition in children.",
abstract = "Sixteen children of uncontrollable fecal incontinence have been treated with Pickrell's gracilis muscle transposition since 1983: 12 had an imperforate anuses with multiple corrective operative procedures and 4 had traumatic destructions of anal sphincters. We report a series of 11 cases whom we followed-up over a period of 0.8 to 10.5 years (mean; 5.6 years). Seven patients were evaluated by anorectal manometry. All patients except one who had left hemipelvectomy and permanent colostomy showed nearly normal continence during the follow-up period. There was no evidence of fibrosis in the transposed muscles and the tensions of the transposed muscles were well maintained. The voluntary contractions of the transposed muscles were well maintained and efficient in all cases. The general manometric parameters did not correlate well with the functional results; however, there was a strong correlation in the S/R ratio (maximum squeeze pressure/resting pressure) with the functional results. We believe that the good functional outcome of this procedure need not only the meticulous surgical technique but also the personal motivation and the compliance with physiotherapy. In conclusion, although the gracilis muscle transposition never results in normal continence, acceptable continence can be achieved in the selected patients.",
author = "Han, {S. J.} and HyoJin Park and Kim, {C. B.} and Hwang, {E. H.}",
year = "1995",
month = "1",
day = "1",
doi = "10.3349/ymj.1995.36.4.372",
language = "English",
volume = "36",
pages = "372--377",
journal = "Yonsei Medical Journal",
issn = "0513-5796",
publisher = "Yonsei University College of Medicine",
number = "4",

}

Long-term follow-up of gracilis muscle transposition in children. / Han, S. J.; Park, HyoJin; Kim, C. B.; Hwang, E. H.

In: Yonsei Medical Journal, Vol. 36, No. 4, 01.01.1995, p. 372-377.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Long-term follow-up of gracilis muscle transposition in children.

AU - Han, S. J.

AU - Park, HyoJin

AU - Kim, C. B.

AU - Hwang, E. H.

PY - 1995/1/1

Y1 - 1995/1/1

N2 - Sixteen children of uncontrollable fecal incontinence have been treated with Pickrell's gracilis muscle transposition since 1983: 12 had an imperforate anuses with multiple corrective operative procedures and 4 had traumatic destructions of anal sphincters. We report a series of 11 cases whom we followed-up over a period of 0.8 to 10.5 years (mean; 5.6 years). Seven patients were evaluated by anorectal manometry. All patients except one who had left hemipelvectomy and permanent colostomy showed nearly normal continence during the follow-up period. There was no evidence of fibrosis in the transposed muscles and the tensions of the transposed muscles were well maintained. The voluntary contractions of the transposed muscles were well maintained and efficient in all cases. The general manometric parameters did not correlate well with the functional results; however, there was a strong correlation in the S/R ratio (maximum squeeze pressure/resting pressure) with the functional results. We believe that the good functional outcome of this procedure need not only the meticulous surgical technique but also the personal motivation and the compliance with physiotherapy. In conclusion, although the gracilis muscle transposition never results in normal continence, acceptable continence can be achieved in the selected patients.

AB - Sixteen children of uncontrollable fecal incontinence have been treated with Pickrell's gracilis muscle transposition since 1983: 12 had an imperforate anuses with multiple corrective operative procedures and 4 had traumatic destructions of anal sphincters. We report a series of 11 cases whom we followed-up over a period of 0.8 to 10.5 years (mean; 5.6 years). Seven patients were evaluated by anorectal manometry. All patients except one who had left hemipelvectomy and permanent colostomy showed nearly normal continence during the follow-up period. There was no evidence of fibrosis in the transposed muscles and the tensions of the transposed muscles were well maintained. The voluntary contractions of the transposed muscles were well maintained and efficient in all cases. The general manometric parameters did not correlate well with the functional results; however, there was a strong correlation in the S/R ratio (maximum squeeze pressure/resting pressure) with the functional results. We believe that the good functional outcome of this procedure need not only the meticulous surgical technique but also the personal motivation and the compliance with physiotherapy. In conclusion, although the gracilis muscle transposition never results in normal continence, acceptable continence can be achieved in the selected patients.

UR - http://www.scopus.com/inward/record.url?scp=0029377656&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029377656&partnerID=8YFLogxK

U2 - 10.3349/ymj.1995.36.4.372

DO - 10.3349/ymj.1995.36.4.372

M3 - Article

C2 - 7483681

AN - SCOPUS:0029377656

VL - 36

SP - 372

EP - 377

JO - Yonsei Medical Journal

JF - Yonsei Medical Journal

SN - 0513-5796

IS - 4

ER -