DYNAMIC GRACILOPLASTY FOR RESTORATION OF CONTINENCE AFTER TRAUMATIC DESTRUCTION OF THE RECTUM AND SPHINCTERS - REPORT OF A CASE

A thirteen-year-old girl was run down by a speedboat, which resulted i n traumatic destruction of the rectum and anal sphincters, She,vas tre ated by using a modified Duhamel procedure for rectal reconstruction a nd a double gracilis muscle transposition as the sphincter replacement procedure, Eight weeks after the first operation, intramuscular elect rodes were implanted in both gracilis muscles and connected with an im planted electrical stimulator, This electrically stimulated gracilis m uscle neosphincter restored sphincter function while anorectal sensati on was preserved as a result of an intact rectovaginal septum. After c losure of the temporary colostomy, the patient has good continence,