ISSN: 1300-0292 İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED CINAHL, Index Copernicus, Chemical Abstracts (CA), Excerpta Medica / EMBASE Dil: Türkçe, İngilizce İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Graciloplasty For Restoration Of Traumatic Anal Incontinence (a Case Report)
Prof.Dr.Tarık ÇAĞA*, Dr.Orhan YURTSEVER*, Prof.Dr.Adnan ŞAHİN*
*Osmangazi University Medical Faculty, General Surgery Department, ESKİŞEHİR
Anal sphincter, together with the mechanisms controlling its action, is one of the most important functions of human body. A gradual decrease of this function due to various diseases or a sudden loss subsequent to a major trauma to perineal region, may result in many physical and psychological problems. In this case, a 35 year-old female patient who had a traffic accident was discussed. She had a very havy blast injury to pelvi-gluteal and perianal regions including anal sphincters. An urgent operation was performed for debridement of necrotic tissues and for diverting loop colostomy to protect perianal region. At the second operation a neosphincter was constructed by using gracilis muscle flaps. The sphincter function was restored and the patient has regained the ağabeylity of continence almost completely by 3 months. As a result we may say that, this method could be used for anal reconstruction for selected cases.
Keywords: Anal sphincter, Pelvic trauma, Graciloplasty
Turkiye Klinikleri J Med Sci 1996, 16:315-317
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