Akademik Veri Yönetim Sistemi
12th Scientific and Annual Meeting of the European Society of Coloproctology, Berlin, Almanya, 20 - 22 Eylül 2017, ss.36
Aim: We present a new technique for secondary repair of obstetric anal sphincter injury sphinctero-vagino-paraneoplastic (OASIS).
Method: Surgical Technique: A semi-circular incision was made along with the line matched the projection of the anal sphincter. The second “U” shaped incision was made on posterior comissure along with the line matched the projection of the
bulbospongiosus muscles. The vaginal mucosa was dissected at a depth of 6 cm which extended laterally to the bulbospongiosus and puborectal muscles and inferiorly to the perineal body. The retracted ends of the sphincters were repaired with
overlapping method. The perineal body was formed on the external anal sphincter and the an€us was centralised by end-to-end repair of the free ends of the bulbospongiosus muscles.
Results: This technique was used in 6 patients (mean age: 37.5) with OASIS The anal sphincter defect angle didn’t exceed 130 degrees in any patient. The mean preoperative incontinence score was 15 (range: 13–17). It was 2 (range: 1–3) in postoperative 12 months (P: 0.027). Conclusion: Combined repair of anal sphinchters and perineal body, superficial transverse perinei muscles, bulbosupongios muscles, which provide contribution to anal continence, is necessary to improve the surgical outcome. Long-term outcome of this combined technique can also be satisfactory.