๐”– Bobbio Scriptorium
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Experience of posterior division of the puborectalis muscle in the management of chronic constipation

โœ Scribed by P. R. H. Barnes; P. R. Hawley; D. M. Preston; Professor J. E. Lennard-Jones

Publisher
John Wiley and Sons
Year
1985
Tongue
English
Weight
327 KB
Volume
72
Category
Article
ISSN
0007-1323

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โœฆ Synopsis

Nine women with severe chronic constipation who were unable to expel a water-filled rectal balloon underwent posterior division of the puborectalis muscle. Pre-operative concentric needle electromyography and measurement of the anorectal angle at rest and during straining suggested that the puborectalis muscle failed to relax during attempted defaecation in these patients. Two patients reported improvement after surgery and had normal balloon expulsion after operation. However seven patients reported no benefit from surgery and tests of defaecatory function and anorectal angle did not change. Incontinence for solid stool was not reported following puborectalis muscle division although five patients reported incontinence of flatus, liquid stool and mucus.

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