Adynamic Graciloplasty for Faecal Incontinence in an Adult after Anal Atresia Correction in Infancy – a Case Report
Clinical Practice
Narimantas Evaldas Samalavicius
Klaipeda University Hospital; Vilnius University, Lithuania
Vitalija Nutautiene
Klaipeda University Hospital, Lithuania
Lina Butenaite
Vilnius University, Lithuania
Rytis Markelis
Lithuanian University of Health Sciences
Audrius Dulskas
Vilnius University; National Cancer Institute; University of Applied Sciences, Lithuania
Published 2020-12-29
https://doi.org/10.15388/LietChirur.2020.19.33
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Keywords

unstimulated graciloplasty
faecal incontinence
Wexner score
case report

How to Cite

1.
Samalavicius NE, Nutautiene V, Butenaite L, Markelis R, Dulskas A. Adynamic Graciloplasty for Faecal Incontinence in an Adult after Anal Atresia Correction in Infancy – a Case Report. LS [Internet]. 2020Dec.29 [cited 2022Sep.27];19(3-4):140-4. Available from: https://www.journals.vu.lt/lietuvos-chirurgija/article/view/22118

Abstract

Background. Here we present a case of female patient suffering from bowel incontinence. Case report. The patient underwent unstimulated graciloplasty. Postoperative period was uneventful. After 4 weeks, a course of low frequency electric external stimulation in the area around the neurovascular bundle in the thigh was performed. Patient was evaluated 3 months postoperatively. On inspection, her anus was closed at rest. She stated moderate improvement in her continence and quality of life, her Wexner score was 10 and FISI score was 32 (prior surgery 19 and 44 accordingly). Conclusion. Adynamic graciloplasty seems to be a reasonable method of choice for faecal incontinence.

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