On the in situ anus of Plastic and Reconstructive surgery.docVIP

 PAGE \* MERGEFORMAT 12 On the in situ anus of Plastic and Reconstructive surgery Author: Zhang Jian LING Zi Shou Ji Ka Shui-Xiang Zheng Xiang Bing Cha Cha Jianhua Zhang Liang-Chen Shu-Jia Ling S [Paper Keywords] low rectal cancer; in situ anal reconstruction; Improvement [Abstract] Objective: To evaluate the improvement of the internal and external anal sphincter in situ Plastic and Reconstructive Surgery and its results of operations. Methods: The improvements include: ① anal sphincter muscle to improve the double sets of double-loop; ② external anal sphincter to improve the gracilis muscle a “scarf-style” end of the week around the colon, its remote profile control for two, a suture fixed at the pubic bone ligament; the other end of a suture in the sacral ligament, that is, external anal sphincter and external sphincter reconstruction of shallow and deep reconstruction. Results: 38 cases of postoperative appearance and function of the anus and long-term quality of life, survival rates were greater satisfaction. Postoperative follow-up rate was 94.73% overall excellent; long-term survival rate up to 76.32%. Conclusion: The low rectal cancer after Miles, while lines to improve the internal and external anal sphincter in situ the effect of plastic reconstruction is feasible, closer to the normal anatomical structure and physiological function of the anus. Our hospital since 1998, for patients with low rectal cancer after radical resection Miles, while lines to improve the internal and external anal sphincter in situ Plastic and Reconstructive surgery, results were satisfactory, the report is as follows. A clinical data 1.1 General information: The group of 38 cases, of which 22 cases of male and female 16 cases; aged 25-68 years, pathological diagnosis: 16 cases of rectal adenocarcinoma, 12 cases of papillary adenocarcinoma, mucinous adenocarcinoma in 10 cases. 1.2 clinical stages: from the lower edge of t