caa a22 4500 46576245X CHVBK 20180323111903.0 cr unu---uuuuu 170327e19900301xx s 000 0 eng 10.1007/BF00496141 doi (NATIONALLICENCE)springer-10.1007/BF00496141 Perineal colostomy and electrostimulated gracilis "neosphincter” after abdomino-perineal resection of the colon and anorectum: a surgical experience and follow-up study in 47 cases [Elektronische Daten] [E. Cavina, M. Seccia, G. Evangelista, M. Chiarugi, P. Buccianti, A. Tortora, A. Chirico] A series of 47 patients undergoing abdominoperineal resection of the distal colon and anorectum and construction of a continent perineal colostomy using electrostimulated gracilis muscle is described. External and implanted pulse generators have both been used. An analysis of complications and oncological data are reported. There was no operative mortality. The incidence of complications, divided into three classes, mild (62%), moderate (27%) and severe (11%), has not significantly altered the functional results, with the exception of early ischaemia of the colonic stump in two cases. During the first 22 cases, no preoperative oncological staging was performed. In the last 23 patients endorectal ultrasonography and CT scanning were carried out. Functional results were evaluated by electromanometry, electromyostimulation and dynamic defaecography. Clinical data assessed postoperatively showed good function in 65% of cases, fair in 22.5% and poor in 12.5%. The quality of life in 15 patients with a perineal colostomy and electrostimulated gracilis was significantly better than in 15 patients having an abdomino-perineal resection without gracilis plastic reconstruction. Springer-Verlag, 1990 Cavina E. Emergency Surgery, Department of Surgery, University of Pisa, Pisa, Italy aut Seccia M. Emergency Surgery, Department of Surgery, University of Pisa, Pisa, Italy aut Evangelista G. Emergency Surgery, Department of Surgery, University of Pisa, Pisa, Italy aut Chiarugi M. Emergency Surgery, Department of Surgery, University of Pisa, Pisa, Italy aut Buccianti P. Emergency Surgery, Department of Surgery, University of Pisa, Pisa, Italy aut Tortora A. Emergency Surgery, Department of Surgery, University of Pisa, Pisa, Italy aut Chirico A. Emergency Surgery, Department of Surgery, University of Pisa, Pisa, Italy aut International Journal of Colorectal Disease Springer-Verlag 5/1(1990-03-01), 6-11 0179-1958 5:1<6 1990 5 384 https://doi.org/10.1007/BF00496141 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF00496141 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Cavina E. Emergency Surgery, Department of Surgery, University of Pisa, Pisa, Italy aut NATIONALLICENCE 700 1- Seccia M. Emergency Surgery, Department of Surgery, University of Pisa, Pisa, Italy aut NATIONALLICENCE 700 1- Evangelista G. Emergency Surgery, Department of Surgery, University of Pisa, Pisa, Italy aut NATIONALLICENCE 700 1- Chiarugi M. Emergency Surgery, Department of Surgery, University of Pisa, Pisa, Italy aut NATIONALLICENCE 700 1- Buccianti P. Emergency Surgery, Department of Surgery, University of Pisa, Pisa, Italy aut NATIONALLICENCE 700 1- Tortora A. Emergency Surgery, Department of Surgery, University of Pisa, Pisa, Italy aut NATIONALLICENCE 700 1- Chirico A. Emergency Surgery, Department of Surgery, University of Pisa, Pisa, Italy aut NATIONALLICENCE 773 0- International Journal of Colorectal Disease Springer-Verlag 5/1(1990-03-01), 6-11 0179-1958 5:1<6 1990 5 384 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer