Yonsei Med J.  1995 Aug;36(4):372-377. 10.3349/ymj.1995.36.4.372.

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

• Han SJ
• Park HJ
• Kim CB
• Hwang EH

• KMID: 1066888
• DOI: http://doi.org/10.3349/ymj.1995.36.4.372

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.

Keyword

Fecal incontinence; gracilis muscle transposition; anorectal manometry

MeSH Terms

Adolescent
Adult
Anus/physiopathology
Case Report
Child
Child, Preschool
Colostomy
Fecal Incontinence/physiopathology/*surgery
Female
Follow-Up Studies
Human
Infant
Longitudinal Studies
Male
Manometry
Muscles/*transplantation
Postoperative Period
Reoperation
Thigh
Treatment Outcome