THE ISSUE OF CREATING A NEOSPHINCTER IN PATIENTS WITH INTESTINAL INCONTINENCE

Authors

Yu.H.Ibrokhimov1 2 M.Kh. Khakimov2 3 U.T. Gulmuradov4
Job:

1.Department of General Surgery No. 1 named after Professor A.N. Kakharov, State Educational Institution "Avicenna Tajik State Medical University"

2.City Center of Proctology

3.Department of Operative Surgery and Topographic Anatomy named after Professor M.K. Karimov, State Educational Institution "Avicenna Tajik State Medical University"

4.Department of Cardiovascular, Endovascular, and Plastic Surgery named after Professor T.G. Gulmuradov, State Educational Institution "Institute of Postgraduate Education in Healthcare of the Republic of Tajikistan", Dushanbe, Tajikistan
DOI:
10.65197/3106-4035-2026-2-1-64-78

Annotation

Resume.

Goal.

Improving the results of surgical treatment of severe forms of anal incontinence by forming a neosphincter from the gracilis muscle of the thigh (m. gracilis) in the author’s modification.

Material and methods.

The treatment outcomes of 32 patients (22 men and 10 women) with grade III intestinal incontinence, who underwent surgery between 2010 and 2024, were analyzed. The average age was 38.5±2.8 years. In 78% of patients, the pathology was caused by previous rectal surgery and postpartum perineal lacerations. The function of the sphincter apparatus was assessed using a device of our own invention. The neosphincter was formed using a modified technique using graciloplasty.

Results.

Early postoperative complications (partial muscle necrosis, wound suppuration, and hematoma) were reported in 15.6% of patients. Longterm outcomes (from 3 months to 14 years) were studied in 27 patients. Positive functional outcomes (good and satisfactory) were achieved in 93.7% of cases. Muscle flap viability was confirmed by ultrasound and electroneuromyography.

Conclusion.

Thus, the use of a modified method for creating a neosphincter from the delicate thigh muscle allows for effective rehabilitation of patients with severe incontinence in 93.7% of cases.

Keywords

intestinal incontinence neosphincter gracilis muscle graciloplasty anal incontinence sphincterometry.

Full text

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Information
Language

English

License

CC BY 4.0

Category

PROCTOLOGY

FINANCING

There was no financial support.

CONFLICT OF INTEREST

The authors declare no conflict of interest.

INFORMATION ABOUT THE AUTHORS:

*Ibrokhimov Yusufjon Hasanovich – Candidate of Medical Sciences, Associ-ate Professor of the Department of Gen-eral Surgery No. 1 named after Professor

A.N. Kakharov, State Educational Insti-tution “Tajik State Medical University named after Abu Ali ibn Sino”, City Cen-ter of Proctology, Dushanbe, Tajikistan

https://orcid.org/0009-0005-0298-4095

E-mail:josef_0912@mail.ru

 

Khakimov Makhmadsaid Khaid-arovich – Assistant Professor, Depart-ment of Operative Surgery and Topo-graphic Anatomy named after Professor

M.K. Karimov, State Educational Insti-tution “Tajik State Medical University named after Abu Ali ibn Sino”, Dushanbe, Tajikistan

E-mail: mahmasaid_doc@yahoo.com

https://orcid.org/0009-0006-6052-5708

 

Gulmuradov Ulugbek Tashpula-tovich – Candidate of Medical Sciences, Head of the Department of Cardiovas-cular, Endovascular and Plastic Surgery named after professor T.G. Gulmura-dov of the State Educational Institution

«Institute of Postgraduate Education in Healthcare of the Republic of Tajiki-stan», Dushanbe, Tajikistan.

E-mail: gulmurod777@mail.ru

https://orcid.org/0009-0007-7799-8488

*Correspondence address.