Brandesky G
Wien Klin Wochenschr. 1975 Sep 19;87(17):541-4.
A series of 13 cases is reported in which gracilis muscle transplantation according to Pickrell was carried out. In half of the cases a modification using bilateral gracilis muscle transplants was performed. 10 children were followed up; 8 of them showed an improvement in faecal continence. Preserved contractility of the transplanted gracilis muscle seemed to be responsible for this improvement. Since maturation of anorectal structures after surgical correction of high anorectal atresias and late development of anorectal mechanisms seems possible and might to be assisted by transplantation, early surgery -- about the fourth year of life -- is recommended.
报告了一系列13例根据皮克雷尔方法进行股薄肌移植的病例。其中一半病例采用双侧股薄肌移植进行了改良。对10名儿童进行了随访；其中8名儿童的大便失禁情况有所改善。移植的股薄肌保留的收缩力似乎是这种改善的原因。由于在高位肛门直肠闭锁手术矫正后肛门直肠结构的成熟以及肛门直肠机制的后期发育似乎是可能的，并且可能通过移植得到促进，因此建议在大约4岁时进行早期手术。
