Surgical Reconstitution of a Unilaterally Avulsed Symptomatic Puborectalis Muscle Using Autologous Fascia Lata
| Autor: | A. Rao Chimpiri, Lieschen H. Quiroz, Mikio A. Nihira, Ariel Allen, S. Abbas Shobeiri |
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| Rok vydání: | 2009 |
| Předmět: |
medicine.medical_specialty
Vaginal birth business.industry Obstetrics and Gynecology Autologous fascia lata Pelvic Floor Puerperal Disorders Obstetric Labor Complications Surgery Dyspareunia fluids and secretions medicine.anatomical_structure Pregnancy Fascia lata Fascia Lata medicine Humans Fecal incontinence Fecal continence Female medicine.symptom Muscle Skeletal business Fecal Incontinence Puborectalis muscle |
| Zdroj: | Obstetrics & Gynecology. 114:480-482 |
| ISSN: | 0029-7844 |
| DOI: | 10.1097/aog.0b013e3181ae6ad6 |
| Popis: | The puborectalis muscle is an important muscle for the maintenance of fecal continence. We present a novel surgical technique for repair of symptomatic avulsed puborectalis muscle.This woman presented with dyspareunia and fecal incontinence since the vaginal birth of her child 2 years before. The diagnosis of an avulsed right puborectalis was made by physical examination and confirmed by magnetic resonance imaging and three-dimensional ultrasonography. Fascia lata was harvested from the patient's thigh and used to reconstitute the missing portion of the puborectalis muscle. At 12 months postoperatively, the patient was continent of stool and relieved of dyspareunia.The patient's dyspareunia and fecal incontinence were alleviated by restoring normal anatomy. |
| Databáze: | OpenAIRE |
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