Zailani M H M, Azmi M N, Deen K I
Colorectal Unit, Department of Surgery, Kulliyyah of Medicine, International Islamic University Malaysia, Kuantan, Pahang, Malaysia.
Med J Malaysia. 2010 Mar;65(1):66-7.
Faecal incontinence is a debilitating chronic clinical condition which may affect the patient and care givers. Modality of treatment is based on severity of the symptoms as well as the anatomical defect itself, availability of resources and expertise. We describe a modified technique of dynamic graciloplasty as neoanal sphincter for the treatment severe faecal incontinence who has failed previous over lapping sphincteroplasty. In our modified version, instead of using implanted intramuscular electrodes and subcutaneous neurostimulator to provide continuous stimulation, the patient will undergo an external stimulation on the nerve of transplanted gracilis periodically and concurrent biofeedback therapy. We believe the technique is relatively easy to learn and very cost effective without any electrodes or neurostimulator related complications.
大便失禁是一种使人虚弱的慢性临床病症，可能会影响患者及其护理人员。治疗方式基于症状的严重程度、解剖缺陷本身、资源可用性和专业知识。我们描述了一种改良的动态股薄肌成形术技术，作为新肛门括约肌用于治疗先前重叠括约肌成形术失败的严重大便失禁患者。在我们的改良版本中，患者不再使用植入的肌内电极和皮下神经刺激器来提供持续刺激，而是定期接受对移植股薄肌神经的外部刺激以及同步生物反馈疗法。我们认为该技术相对容易掌握，且非常具有成本效益，不会出现任何与电极或神经刺激器相关的并发症。
