Use of the gluteus maximus muscle as the neosphincter for restoration of anal function after abdominoperineal resection

Puerta Díaz, J. D.; Castaño Llano, R.; Restrepo, J. I.; Gómez, G.; Lombana, Luis

Use of the gluteus maximus muscle as the neosphincter for restoration of anal function after abdominoperineal resection

dc.contributor.author	Puerta Díaz, J. D.
dc.contributor.author	Castaño Llano, R.
dc.contributor.author	Restrepo, J. I.
dc.contributor.author	Gómez, G.
dc.contributor.author	Lombana, Luis
dc.contributor.corporatename	Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Cirugía y Especialidades. Grupo de Investigación de Cirugía y Especialidades
dc.date.accessioned	2020-06-19T01:43:03Z
dc.date.available	2020-06-19T01:43:03Z
dc.date.created	2012-12-15
dc.description.abstractenglish	Background Our aim was to evaluate complications and long-term functional outcome in patients who had sphincter reconstruction using the gluteus maximus muscle as the neosphincter after abdominoperineal resection for rectal cancer treatment. Methods Seven patients underwent reconstruction from 2000 to 2010. First, the sigmoid colon was brought down to the perineum as a perineal colostomy, with the procedure protected by a loop ileostomy. Reconstruction of the sphincter mechanism using the gluteus maximus took place 3 months later, and after another 8–12 weeks, the loop ileostomy was closed. We studied the functional outcome of these interventions with follow-up interviews of patients and objectively assessed anorectal function using manometry and the Cleveland Clinic Florida (Jorge-Wexner) fecal incontinence score. Results The mean follow-up was 56 months (median 47; range 10–123 months). One patient had a perianal wound infection and another had fibrotic stricture in the colocutaneous anastomosis that required several digital dilatations. Anorectal manometry at 3-month follow-up showed resting pressures from 10 to 18 mm Hg and voluntary contraction pressures from 68 to 187 mm Hg. Four patients had excellent sphincter function (Jorge-Wexner scores ≤5). Conclusions Our preliminary results show that sphincter reconstruction by means of gluteus maximus transposition can be effective in restoring gastrointestinal continuity and recovering fecal continence in patients who have undergone APR with permanent colostomy for rectal cancer. Furthermore, the reconstruction procedure can be performed 2–4 years after the APR.	spa
dc.description.paginas	425-429	spa
dc.description.quartilescopus	Q1	spa
dc.description.quartilewos	Q2	spa
dc.description.tipoarticulo	Artículo original	spa
dc.format	PDF	spa
dc.format.mimetype	application/pdf	spa
dc.format.soporte	Papel / Electrónico	spa
dc.identifier	https://link.springer.com/article/10.1007/s10151-012-0961-z?shared-article-renderer#citeas	spa
dc.identifier.doi	https://doi.org/10.1007/s10151-012-0961-z	spa
dc.identifier.issn	1123-6337 / 1128-045X (Electrónico)	spa
dc.identifier.uri	http://hdl.handle.net/10554/49861
dc.language	spa	spa
dc.rights.licence	Atribución-NoComercial 4.0 Internacional	*
dc.rights.uri	http://creativecommons.org/licenses/by-nc/4.0/	*
dc.source	Techniques in Coloproctology; Vol. 17 (2013)	spa
dc.subject.keyword	Abdominoperineal resection	spa
dc.subject.keyword	Colostomy	spa
dc.subject.keyword	Fecal incontinence	spa
dc.subject.keyword	Gluteus maximus transposition	spa
dc.title	Use of the gluteus maximus muscle as the neosphincter for restoration of anal function after abdominoperineal resection	spa
dc.type	info:eu-repo/semantics/article
dc.type.hasversion	http://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.local	Artículo de revista	spa