Smooth-muscle sphincteroplasty in constructing a colostomy
Deliĭski, T.; Kunts, E.; Kovachev, L.
Khirurgiia 43(6): 17-21
1990
ISSN/ISBN: 0450-2167 PMID: 2102514 Document Number: 350296
A method is described for producing continent colostomal by smooth-muscle sphincteroplasty. There are variants of operative technique: autogenic smooth-muscle intestinal grafting and pediculated plasty. A 10 cm long intestinal segment is split along the free tenia, mucosectomized and wrapped around the precolostomal part of the colon. Essential element of the operation is the 100 per cent stretching of the seromuscular flap when fixed. A tight sphincter-like cuff results. The method is unassociated with specific complications. The first impressions of the sphincteroplasty with encouraging results are recorded. In cases when no sphincter effect was obtained there was inadequacy in some elements of the operation. Then the stoma functions as a conventional one.