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자료유형
학술저널
저자정보
Saket Kumar (King George’s Medical University) Noushif Medappil (King George’s Medical University) Sunil Kumar Singh (King George’s Medical University) Abhijit Chandra (King George’s Medical University)
저널정보
대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.36 No.1
발행연도
2020.1
수록면
58 - 61 (4page)

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Despite significant advancements in the field of medicine, management of complex obstetric perineal injuries remains a challenge. Although several surgical techniques have been described, no techniques have provided satisfactory long-term results. Recently, a perineal transposed antropyloric valve has been used for anorectal reconstruction in patients with damaged or excised anal sphincters. We describe this technique in the case of complex obstetric perineal trauma with extensive tissue loss, presenting with end stage fecal incontinence. The functional outcome after this procedure was evaluated. The patient tolerated the surgery well, and there were no procedure-related upper gastrointestinal disturbances. Short-term functional outcomes were encouraging. At the 36-month follow-up, the patient’s neoanal resting and squeeze pressures were 50 and 70 mmHg, respectively. The postoperative St. Mark’s incontinence score was 7. Perineal antropyloric valve transposition is feasible and can be successfully applied in the management of end-stage fecal incontinence associated with complex obstetric perineal injury.

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