UNIVERSITAS AIRLANGGA



Detail Article

Folia Medica Indonesiana

ISSN 0303-7932

Vol. 46 / No. 1 / Published : 2010-01

Order : 10, and page :60 - 65

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Original Article :

Gracilis muscle transposition for traumatic anal incontinence a case report

Author :

  1. Tomy Lesmana*1
  2. Iwan Kristian*2
  3. Sudjatmiko*3
  1. Depatment of Surgery, Airlangga University School of Medicine, Dr Soetomo Teaching Hospital, Surabaya
  2. Depatment of Surgery, Airlangga University School of Medicine, Dr Soetomo Teaching Hospital, Surabaya
  3. Depatment of Surgery, Airlangga University School of Medicine, Dr Soetomo Teaching Hospital, Surabaya

Abstract :

Traumatic anal incontinence is relatively uncommon, but this is a devastating condition that can affect individual social live. Successful management of anal incontinence with autologous neo-sphincter from gracilis muscle as described by Pickrell motivate us to perform this procedure for our patient. The objective of this paper was to report management a case of traumatic anal incontinence using gracilis muscle transposition. A young female suffered from traumatic anal incontinence and contracture af left labium mayus due to motorcycle accident. The electromyographic examination revealed partial denervation of anal sphincter complex. We performed gracilis muscle transposition procedure for management of the anal incontinence and subsequent biofeedback exercise. The continence is obtained and the biofeedback examination reveal almost normal. In conclusion, unstimulated gracilis muscle transposition and subsequent post operative biofeedback therapy is an effective procedure for the management of traumatic anal incontinence in young patient.

Keyword :

gracilis muscle transposition, traumatic anal incontinence,


References :

Andromanakos, N, Filippou, D, Skandalakis, P, Papadopoulos, V, Rizos, S & Simopoulos, K,(2006) Anorectal incontinence: pathogenesis and choice of treatment - : J Gastrointest Liver Dis

Burch, JM,(2000) Injury to the colon and rectum, in KL Mattox, DV Feliciano & EE Moore EE (eds), Trauma, 4th edn New York : McGraw-Hill

Corman, ML,(2005) Colon & Rectal Surgery, 5th edn Philadelphia : Lippincott William & Wilkins





Archive Article

Cover Media Content

Volume : 46 / No. : 1 / Pub. : 2010-01
  1. Comparison Between The Results Of Acid Fast Bacilli Obtained From Spontaneous Sputum With Sputum Induction By Saline 0.9 % And By Salbutamol Nebules In The Diagnosis Of Sputum Smear Negative Pulmonary Tuberculosis
  2. Role Of Free Radicals In Children With Malnutrition
  3. Effect Of Probiotic Administration On The Levels Of Fecal Secretory Immunoglobulin A In Premature Infants
  4. The Implementation Of Hidden Markov Model For Exon Prediction On Dna-gene Plasmodium Falciparum
  5. Correlation Between Cox-2 Expression With Histopathological Grading In Astrocytoma
  6. Effect Of Low Lead Exposure On Gestational Age, Birth Weight And Premature Rupture Of The Membrane
  7. Diagnostic Accuracy Of Pre-operative Fine Needle Aspiration Biopsy In Ameloblastoma
  8. Chemical Analysis Of Loranthaceae Daendropthoe Sp. By Thin Layer Chromatography
  9. Molecular Characterization Of Mexb Gene Fragment In Bandung Isolate Multiresistant Pseudomonas Aeruginosa
  10. Gracilis Muscle Transposition For Traumatic Anal Incontinence A Case Report
  11. Review Article: Management Of Polycystic Ovary Syndrome In Adolescent
  12. The Clinical Features Of Transient Elastography (fibroscan) Examination Among Liver Diseases Patients At Gastroenterohepatology Division Of Dr. Soetomo Hospital, Surabaya

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