Ways of raising viability of the intestinal obturator made of the gracilis muscle
Tat'ianchenko, V.K.; Ovsiannikov, A.V.
Khirurgiia 2: 49-51
1995
ISSN/ISBN: 0023-1207 PMID: 7616708 Document Number: 454122
Polarographic examination was conducted in 10 patients with incompetence of the sphincter ani to study the effect of biological preparation of the gracilis muscle for creation of intestinal obturator apparatus. It was established that in initial 20% reduction of pO2, in response to compression of additional vessels and training of 30 to 60 minutes not only a sufficient arterial flow of blood to the muscle through its main supplying vessel develops but also the previously nonfunctioning network of anastomoses. Stabilization of pO2 is an objective criterion of the preparedness of the muscle for transplantation. The method for preoperative training of the transplant is quite simple and reliable, which allows it to be applied in clinical practice.