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Viszeralchirurgie 2002; 37(1): 30-35
DOI: 10.1055/s-2002-20325
Originalarbeit
© Georg Thieme Verlag Stuttgart · New York

Schließmuskelersatz als Therapie der Inkontinenz

Anal Sphincter Replacement for fecal incontinenceE.  Berg
  • 1Koloproktologie Prosper-Hospital Recklinghausen
Further Information

Publication History

Publication Date:
26 February 2002 (online)

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Zusammenfassung

Schließmuskelersatzoperationen sind eine neue Therapieoption in der Behandlung der sonst therapierefraktären anorektalen Inkontinenz. Der Ersatz erfolgt durch eine elektrisch stimulierte Skelettmuskeltransposition, vorzugsweise des Musculus gracilis, oder durch einen künstlichen Schließmuskel. Beide Verfahren sind teuer und komplikationsträchtig. Eine Kontinenzverbesserung gelingt in 60 - 70 %.

Abstract

Anal sphincter replacement offers a new treatment option for patients with severe refractory fecal incontinence. The procedures are electrically stimulated skeletal muscle neosphincter, using especially the gracilis muscle and artificial anal sphincter. Both operations are expensive and can produce many complications. The success rate is 60 - 70 %.

Schlüsselwörter

Schließmuskelersatz - dynamische Grazilisplastik - künstlicher Schließmuskel

Key words

Anal sphincter replacement - Dynamic graciloplasty - Artificial bowel sphincter

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E. Berg

Koloproktologische Klinik, Prosper-Hospital

Mühlenstraße 27, 45659 Recklinghausen

Phone: 02361/54-2750

Fax: 02361/54-2756

Email: Eugen.Berg@Prosper-Hospital.de

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