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- Title
Construction of a neorectum and neoanal sphincter following previous proctocolectomy.
- Authors
Williams, N. S.; Hallan, R. I.; Koeze, T. H.; Watkins, E. S.
- Abstract
A new operation is described in which a neorectum and neoanal sphincter mechanism have been constructed to restore gastrointestinal continuity and continence in a patient who had previously undergone proctocolectomy and a permanent ileostomy. The neorectum was constructed by forming a triplicated pouch from the distal ileum. The neoanal sphincter was fashioned from a transposed gracilis muscle and was activated electrically by an implanted stimulator. A period of chronic low frequency stimulation altered the muscle characteristics and enabled the neosphincter to contract continually without fatigue. Complete continence was achieved by the neosphincter gripping a Silastic® plug inserted within the efferent spout of the pouch. The patient was able to void completely when the stimulator was switched off and the plug removed.
- Publication
British Journal of Surgery, 1989, Vol 76, Issue 11, p1191
- ISSN
0007-1323
- Publication type
Article
- DOI
10.1002/bjs.1800761124