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369666

PROXIMALLY BASED VERSUS DISTALLY BASED GLUTEUS MUSCLE FLAP IN TREATMENT OF END STAGE FECAL INCONTINENCE

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Last updated: 05 Jan 2025

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Abstract

Aim: To compare proximally based versus distally based gluteus maximus muscle flap transposition in patients with end 
stage fecal incontinence. 
Methods: Between August 2005 and August 2007, this prospective randomized study was performed on twenty patients with an end stage anal incontinence. They were sixteen men and four women with an age ranging from 7 to 31 years. A proximally based gluteus maximus flap (group III) was carried out in ten patients while, a distally based flap (group I ) was done in the other ten. Patients were followed up for 6 – 18 months both subjectively and objectively with evaluation of their incontinence score, anorectal manometry, saline enema test and magnetic resonance imaging (MRI). 
Results: Overall, 6/10 patients (60%) in group I and 8/10 patients (80%) in group II were clinically improved with down 
staging of their incontinence scores from C3 to 0 (P 0.003 & 0.0001 respectively). 
This was confirmed by the significant changes in anorectal manometry and saline enema test. MRI done one month 
postoperatively showed disruption in three patients. 
Conclusion: Proximally based gluteoplasty appears to be an excellent encirclement procedure that restores voluntary squeeze pressure as well as rectal sensation when compared with unilateral distally based gluteoplasty.

DOI

10.21608/ejsur.2008.369666

Keywords

Soiling, anal canal, sphincter reconstruction

Authors

First Name

Mohamed

Last Name

Farid

MiddleName

-

Affiliation

Colorectal Surgery Unit, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt

Email

mfshzk@gmail.com

City

-

Orcid

-

First Name

Hesham

Last Name

Abd Monem

MiddleName

-

Affiliation

Colorectal Surgery Unit, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt

Email

-

City

-

Orcid

-

First Name

Waleed

Last Name

Omar

MiddleName

-

Affiliation

Colorectal Surgery Unit, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Abo elkheir

MiddleName

-

Affiliation

Colorectal Surgery Unit, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt

Email

-

City

-

Orcid

-

First Name

Wael

Last Name

Khafagy

MiddleName

-

Affiliation

Colorectal Surgery Unit, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt

Email

wkhafagy@mans.edu.eg

City

-

Orcid

-

First Name

Hosam

Last Name

Ghazy

MiddleName

-

Affiliation

Department of Surgery, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt

Email

hosamelbanna@hotmail.com

City

-

Orcid

-

First Name

Ayman

Last Name

ElNakeeb

MiddleName

-

Affiliation

Department of Surgery, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt

Email

-

City

-

Orcid

-

First Name

Amir

Last Name

Fekry

MiddleName

-

Affiliation

Department of Surgery, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt

Email

-

City

-

Orcid

-

First Name

Sabery

Last Name

Badr

MiddleName

-

Affiliation

Department of Surgery, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt

Email

-

City

-

Orcid

-

First Name

Saleh

Last Name

Awady

MiddleName

-

Affiliation

Department of Surgery, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt

Email

-

City

-

Orcid

-

First Name

Tamer

Last Name

Youssef

MiddleName

-

Affiliation

Department of Surgery, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt

Email

-

City

-

Orcid

-

First Name

Alaa

Last Name

Magdy

MiddleName

-

Affiliation

Department of Surgery, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

El Ghazaly

MiddleName

-

Affiliation

Department of Surgery, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt

Email

-

City

-

Orcid

-

Volume

27

Article Issue

4

Related Issue

49447

Issue Date

2008-10-01

Receive Date

2024-07-28

Publish Date

2008-10-01

Page Start

200

Page End

207

Print ISSN

1110-1121

Online ISSN

1687-7624

Article File

EJSUR_Volume 27_Issue 4_Pages 200-207.pdf

PDF . 276.5kB

Link

https://ejsur.journals.ekb.eg/article_369666.html

Detail API

https://ejsur.journals.ekb.eg/service?article_code=369666

Order

369,666

Type

Original Article

Type Code

3,086

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

PROXIMALLY BASED VERSUS DISTALLY BASED GLUTEUS MUSCLE FLAP IN TREATMENT OF END STAGE FECAL INCONTINENCE

Details

Type

Article

Created At

21 Dec 2024