Ameliorated graciloplasty anorectal reconstruction for fecal incontinince after anoplasty of anal atresia

Abstract

Objective To evaluate the efficacies of ameliorated graciloplasty anorectal reconstruction for fecal incontinence after anoplasty of anal atresia. Methods The clinical data were retrospectively analyzed for 31 patients undergoing ameliorated graciloplasty anorectal reconstruction between August 2003 and August 2011 at Department of Pediatric Surgery, Second Hospital, Shandong University. They were divided into 3 groups according to the findings of preoperative abdominal radiography. And their perioperative fecal profiles were recorded and analyzed. All of them were scored and graded by the Cleveland Fecal Incontinence Degree Grading System. Results During a mean follow-up period of 33.9 (6-87) months, the postoperative scores of 22 patients decreased significantly. Anorectal tube and anal canal resting pressures had statistical significant differences. After a transplantation of gracilis muscle, there was no significant change of anal canal pressure. Conclusions Ameliorated graciloplasty of anorectal reconstruction may restore anal canal pressure for curing fecal incontinence after anoplasty of anal atresia. Key words: Gracilis transplantation; Fecal incontinence; Imperforate anus