GLUTEAL MYONEUROVASCULAR FLAP TRANSFER (GMFT) FOR ANORECTAL SPHINCTERRECONSTRUCTION IN FECAL INCONTINENCE

Objective: To assess the surgical procedure bilateral gluteal myoneuro vascular flap transfer (GMFT) in the treatment of faecal incontinence. Design: Four patients were operated upon and their postoperative cont inence was assessed. Setting: GMFT was carried out on four patients wh o became incontinent for faeces following repair of anorectal malforma tion. Subject: Most of the corrective operations are based on striated muscle transposition from regional gracilis and gluteus maximus muscl es. The rationale of this myoplasty is to provide a contractile muscle ring around the rectum for active voluntary continence control. Inter vention: We used a bilateral gluteal myoneurovascular flap transfer to encircle the rectum to treat faecal incontinence in four children. Th e technique and postoperative evaluation score system are described. R esults: Three of the four children had almost normal continence after the procedure. Conclusion: The GMFT is a valuable treatment in the man agement of faecal incontinence.