B. Bülent MENTEŞ, Mehmet OĞUZ, Yakup SARIGÜNEY, Kenan YUSİFZADE, Erdal YILMAZ

Anal incontience after a dog bite treated by neosphincter formation with the gluteus maximus transposition flap: Report of a case

Köpek ısırması sonrası bir travmatik anal inkontinans vakası anlatılmıştır. Hastada olası en kötü anal inkontinans skoru bulunmuş olup anal manometrik değerlendirme yapılamamıştır. Hasta gluteus maksimus transpozisyon ftep rekonstrüksiyon ile tedavi edilmiştir. Hazırlanmış iki simetrik kas flebi sakrokosigeal bileşim yerinden ayrıldı, iki eşdeğer parçaya disseke edilerek aşağı kaydırıldı ve anal kanal ön ve arka planlarda sarıldı. Posoperativ dönemde herhangi bir komplikasyon olmadı ve operasyondan 4 ay sonra anlamlı iyileşme tespit edildi (anal inkontinans skoru 6).

Köpek ısırması sonrası gelişen anal inkontinans vakasında gluteus maksimus transpozisyon flebi ile neosfinkter oluşturulması: Olgu sunumu

A case of traumatic anal incontinence after a dog bite is described. The patient had the worst possible score of anal incontinence, andan anal manometric study failed to note any pressure patterns. The patient was treated by surgical neosphincter construction with the glutens maximus transposition flap. Two symmetrical muscle bundles were detached from the sacrococcygeal junction, split into two equivalent portions, and rotated inferiorly to surround the anal canal anteriorly and posteriorly. No postoperative complications were noted, and four months after the operation, the patient had improved significantly (anal incontinence score 6).

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