Abstract
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.
Highlights
A large number of perioperative complications, which mostly are infective, technical and functional, as well as modest functional results did not make dynamic graciloplasty a very attractive procedure [1, 2], even bearing in mind that for most of these patients stoma is the only possible alternative
We present a case of adynamic graciloplasty for faecal incontinence in an adult after anal atresia correction in infancy
We used external postoperative nerve stimulation technique described by Niriella and Deen [5], as they have as well demonstrated that with this adynamic graciloplasty technique functional results are equivalent to stimulated graciloplasty
Summary
We present a case of female patient suffering from bowel incontinence. On inspection, her anus was closed at rest. Adynamic graciloplasty seems to be a reasonable method of choice for faecal incontinence. Adinaminė graciloplastika išmatų nelaikymui gydyti pacientei po išangės atrezijos chirurginio gydymo vaikystėje: klinikinis atvejis. Straipsnyje aptariamas pacientės, kuri kreipėsi į kliniką dėl išmatų nelaikymo, klinikinis atvejis. Klinikinė praktika / Narimantas Evaldas Samalavicius, Vitalija Nutautiene, Lina Butenaite, Rytis Markelis, Audrius Dulskas Adynamic graciloplasty for faecal incontinence in an adult after anal atresia correction in infancy – a case report išangė. Adinaminė graciloplastika yra vienas iš patikimų būdų išmatų nelaikymui gydyti. Reikšminiai žodžiai: adinaminė graciloplastika, išmatų nelaikymas, Wexnerio skalė, klinikinis atvejis
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