Gracilis muscle transposition as a workhorse flap for anal incontinence: Quality of life and functional outcome in adults

Kalra, Guru Dayal Singh; Sharma, Amit; Shende, Kaustubh Sharad

doi:10.4103/0970-0358.197245

Cited by 5 publications

(2 citation statements)

References 20 publications

(20 reference statements)

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“…In analysis of the literature recently done by Barisic and Krivokapic [7], adynamic graciloplasty was effective in on an average 50% of cases, dynamic -approximately 60%, so hardly there was any difference again. Up to date, favourable reports are published in the literature on success of adynamic graciloplasty, mostly from Asia, though as a rule with small sample size and retrospective in nature [8][9][10]. In our case, as well demonstrated by Shi et al [9], we used v type of graciloplasty in order to avoid postoperative defecation problems, and we were able to record successful functional outcome.…”

Section: Discussionmentioning

confidence: 58%

Adynamic Graciloplasty for Faecal Incontinence in an Adult after Anal Atresia Correction in Infancy – a Case Report

Samalavičius

Nutautienė

Butenaite

et al. 2020

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Background. Here we present a case of female patient suffering from bowel incontinence. Case report. The patient underwent unstimulated graciloplasty. Postoperative period was uneventful. After 4 weeks, a course of low frequency electric external stimulation in the area around the neurovascular bundle in the thigh was performed. Patient was evaluated 3 months postoperatively. On inspection, her anus was closed at rest. She stated moderate improvement in her continence and quality of life, her Wexner score was 10 and FISI score was 32 (prior surgery 19 and 44 accordingly). Conclusion. Adynamic graciloplasty seems to be a reasonable method of choice for faecal incontinence.

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Section: Discussionmentioning

confidence: 58%

Adynamic Graciloplasty for Faecal Incontinence in an Adult after Anal Atresia Correction in Infancy – a Case Report

Samalavičius

Nutautienė

Butenaite

et al. 2020

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“…60%, so hardly there was any difference again. Up to date, favorable reports are published in the literature on success of adynamic graciloplasty, mostly from Asia, though as a rule with small sample size and retrospective in nature (10,11,12). In our case, as well demonstrated by Shi GG at coauthors (12), we used v type of graciloplasty in order to avoid postoperative defecation problems, and we were able to record successful functional outcome.…”

Section: Discussionmentioning

confidence: 65%

Adynamic Graciloplasty for Fecal Incontinence in an Adult After Anal Atresia and Failed Corrections in Infancy – A Case Report

Samalavičius¹,

Nutautienė²,

Kibrancienė³

et al. 2019

Public Health

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Fecal incontinence after surgeries for anal atresia is not rare. One of the possible treatment alternatives – adynamic graciloplasty. We present a case of an adult patient to whom adynamic gracyloplasty was performed for fecal incontinence after single attempt of sphincter repair in childhood. There was a symptomatic improvement postoperatively, as confirmed by Wexner and FISI index. Adynamic graciloplasty could be more often used as a treatment option of fecal incontinence in adult patients with history of anal atresia.

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Graciloplasty for Anal Incontinence—Is Electrical Stimulation Necessary?

et al. 2019

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Introduction Anal incontinence brings lot of social embarrassment, mental distress, dignity loss, anxiety, low confidence, and eventually a low self-esteem with a restricted social life to the affected person. Surgical repair is the mainstay of treatment for anal incontinence. However, some patients need additional procedures such as gluteoplasty, graciloplasty (adynamic and dynamic), artificial bowel sphincter, and sacral nerve stimulation, which help to reinforce or augment the anal sphincter. Methods A retrospective analysis of 17 patients who underwent adynamic graciloplasty for reconstruction of anal sphincter from January 2008 to December 2017 was done. Demographic profile, fecal incontinence scores (Wexner score and KAMM score), and anal manometric findings were recorded pregraciloplasty and postgraciloplasty. Results Of the total 17 patients, 9 were males and 8 were females. Satisfactory continence was achieved in 13 patients out of 17 (76.47%). Continence was defined as satisfactory for patients having a postoperative Wexner score of 2 or less and KAMM score of 4 or less. It was considered to be poor if the Wexner score was greater than 6 and KAMM score was greater than 8 in the follow-up period or if the stoma was not reversed. Conclusions Unstimulated or adynamic graciloplasty is a relatively safe procedure, has a short learning curve, is affordable, and avoids the additional implant-related complications. We feel that the unstimulated graciloplasty still has a significant role in the management of anal incontinence.

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Gracilis muscle transposition as a workhorse flap for anal incontinence: Quality of life and functional outcome in adults

Cited by 5 publications

References 20 publications

Adynamic Graciloplasty for Faecal Incontinence in an Adult after Anal Atresia Correction in Infancy – a Case Report

Adynamic Graciloplasty for Faecal Incontinence in an Adult after Anal Atresia Correction in Infancy – a Case Report

Adynamic Graciloplasty for Fecal Incontinence in an Adult After Anal Atresia and Failed Corrections in Infancy – A Case Report

Graciloplasty for Anal Incontinence—Is Electrical Stimulation Necessary?

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