Enriquez-Navascues J M, Devesa-Mugica J M
Universidad de Alcalá de Henares, Department of Surgery, Madrid, Spain.
Dis Colon Rectum. 1994 Aug;37(8):766-9. doi: 10.1007/BF02050139.
This study was designed to describe the surgical technique and discuss the possible beneficial role of unilateral gluteus maximus transposition supplementing and supporting a tensile-direct anal sphincteroplasty.
Based on our experience with bilateral gluteus transposition, direct apposition of the remaining muscular ends combined with unilateral gluteus transposition (to avoid the tendency of the sphincter ends to separate) was undertaken in two patients with severe destruction of more than half of the anal muscular ring.
Both postoperative courses were uneventful. Three months after colostomy closure, both patients were classified as Pescatori's B1.
As with any other combined surgical technique, the benefit derived may be attributed entirely to one of the procedures, but it is our impression that the gluteus transposition was worthwhile in achieving satisfactory repair.
本研究旨在描述手术技术，并探讨单侧臀大肌转位在补充和支持张力性直接肛门括约肌成形术中可能发挥的有益作用。
基于我们在双侧臀肌转位方面的经验，对两名肛门肌环超过一半严重受损的患者进行了剩余肌端的直接对合联合单侧臀肌转位（以避免括约肌端分离的趋势）。
两个患者术后病程均顺利。结肠造口关闭三个月后，两名患者均被归类为佩斯卡托里B1级。
与任何其他联合手术技术一样，所获得的益处可能完全归因于其中一种手术，但我们的印象是，臀肌转位对于实现满意的修复是值得的。
