Use of the gluteus maximus muscle as the neosphincter for restoration of anal function after abdominoperineal resection

Abstract

Our preliminary results show that sphincter reconstruction by means of gluteus maximus transposition can be effective in restoring gastrointestinal continuity and recovering fecal continence in patients who have undergone APR with permanent colostomy for rectal cancer. Furthermore, the reconstruction procedure can be performed 2-4 years after the APR.

Current aspects and future prospects of total anorectal reconstruction—a critical and comprehensive review of the literature

“…More recently, Puerta Diaz et al [50] presented their results on 7 patients (5 male, 2 female) with a median age of 40 years (range 30-66). All received a metachronous gluteoplasty without nerve anastomosis two to ten years after APER.…”