Deliĭski T, Kunts E, Kovachev L
Khirurgiia (Sofiia). 1990;43(6):17-21.
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.
描述了一种通过平滑肌括约肌成形术制造可控结肠造口的方法。手术技术有多种变体：自体平滑肌肠移植和带蒂成形术。将一段10厘米长的肠段沿游离结肠带劈开，切除黏膜并包裹在结肠造口前的结肠部分。手术的关键要素是固定时浆肌瓣100%的伸展。形成一个紧密的括约肌样套囊。该方法无特定并发症。记录了括约肌成形术的初步印象，结果令人鼓舞。在未获得括约肌效果的病例中，手术的某些环节存在不足。然后造口就像传统造口一样发挥功能。
