Literature DB >> 2597978

Construction of a neorectum and neoanal sphincter following previous proctocolectomy.

N S Williams1, R I Hallan, T H Koeze, E S Watkins.   

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.

Entities:  

Mesh：

Year:  1989        PMID： 2597978     DOI： 10.1002/bjs.1800761124

Source DB:  PubMed          Journal:  Br J Surg        ISSN： 0007-1323            Impact factor:   6.939


  10 in total

1.  Electrical stimulation of the gracilis neosphincter.

Authors:  N S Williams; J Patel; B George; E S Watkins
Journal:  Int J Colorectal Dis       Date:  1991-02       Impact factor: 2.571

2.  Funktionelle Elektrostimulation Paraplegischer Patienten.

Authors:  Helmut Kern
Journal:  Eur J Transl Myol       Date:  2014-07-08

3.  Adaptive conditioning of skeletal muscle in a large animal model (Sus domesticus).

Authors:  Hazel Sutherland; Stanley Salmons; Ian R Ramnarine; Massimo Capoccia; Adrian A Walsh; Jonathan C Jarvis
Journal:  J Anat       Date:  2006-08       Impact factor: 2.610

4.  Measurements of oxygenation and perfusion in skeletal muscle using multiple microelectrodes.

Authors:  A R Greenbaum; P J Etherington; S Manek; D O'Hare; K H Parker; C J Green; J R Pepper; C P Winlove
Journal:  J Muscle Res Cell Motil       Date:  1997-04       Impact factor: 2.698

5.  The electrically stimulated gracilis neosphincter incorporated as part of total anorectal reconstruction after abdominoperineal excision of the rectum.

Authors:  B J Mander; J F Abercrombie; B D George; N S Williams
Journal:  Ann Surg       Date:  1996-12       Impact factor: 12.969

6.  The electrically stimulated (dynamic) graciloplasty for faecal incontinence--first experiences with a modified muscle sling.

Authors:  H R Rosen; W Feil; G Novi; G Zöch; S Dahlberg; R Schiessel
Journal:  Int J Colorectal Dis       Date:  1994       Impact factor: 2.571

7.  Oxygenation and perfusion of rabbit tibialis anterior muscle subjected to different patterns of electrical stimulation.

Authors:  A R Greenbaum; J C Jarvis; D O'hare; S Manek; C J Green; J R Pepper; C P Winlove; S Salmons
Journal:  J Muscle Res Cell Motil       Date:  2000-04       Impact factor: 2.698

8.  Stimulation-induced damage in rabbit fast-twitch skeletal muscles: a quantitative morphological study of the influence of pattern and frequency.

Authors:  J Lexell; J Jarvis; D Downham; S Salmons
Journal:  Cell Tissue Res       Date:  1993-08       Impact factor: 5.249

Review 9.  Fecal incontinence: indications for repairing the anal sphincter.

Authors:  F Penninckx
Journal:  World J Surg       Date:  1992 Sep-Oct       Impact factor: 3.352

10.  The antegrade continence enema procedure and total anorectal reconstruction.

Authors:  Andrew P Zbar
Journal:  Gastroenterol Rep (Oxf)       Date:  2014-03-12
  10 in total

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