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KMID : 0358819820090010077
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1982 Volume.9 No. 1 p.77 ~ p.82
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A CASE REPORT OF GRACILIS MYOCUTANEOUS FLAP FOR THE RECONSTRUCTION OF ANAL INCONTINENCE
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崔應鍾/Choi, E.O.
金世泳/洪聖鎬/丁銓殷/Kim, S.Y./Hong, S.H./Chung, C.E.
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Abstract
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Anal incontinence is caused by sphincter any muscular dysfunction. It is frequently associated with great inconvenience to the patient as sell as for those about him. ´the embarrassment , mental distress, and social ostracism of an individual are most distressing so that no apologies are inevitable somatic and psychic sequelae.
Gracilis muscle has numerous advantages ´for the replacement of anal sphincteric muscle. We have utilized gracilis myocutaneous flap for the correction of anal incontinence caused by secondary fibrosis of unilateral sphincteric muscle and hypertrophic scar of anal mucosa after application of the thin split thickness skin graft to the gluteal and perianal region. Postoperative follow-up study by using Electromyography during 3 months revealed gracilis muscle acting as anal sphincter excellently. This paper arguments the clinical application of unilateral gracilis myocutaneous flap for the correction of the anal incontinence of traumatic origin.
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KEYWORD
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