EDİNİLMİŞ KLOAKA'DA ANAL SFİNKTEROPLASTİ, LOKAL ROTASYON FLEBİYLE PERİNEOPLASTİ PROSEDÜRÜ

Yıl 2012, Cilt: 19 Sayı: 1, 21 - 24, 30.03.2012

İlker Günyeli Evrim Erdemoğlu Turgut Ortak Tamer Mungan

Öz

Herhangi bir zamanda anal kanal içeriğinin anüsten istemsiz olarak kaçırılmasına fekal inkontinans adı verilir. Bu durum A.B.D'de 5 milyon kişiyi ilgilendiren, sosyal ve psikolojik komponentleri olan önemli bir tıbbi problemdir. Bu olgu sunumunda hastaya anal sfinkteroplasti ve lokal rotasyon flebi ile perineoplasti operasyonu uygulandı. Fekal inkontinans tedavisini yapacak ve planlayacak cerrahların preoperatif değerlendirme ve testleri iyi uygulayabilmesi, farklı tip cerrahi prosedürler de kendini iyi geliştirmiş olması ve bu konuda uzun süre takipli geniş prospektif çalışmalar yapılması konuya daha fazla ışık tutacaktır. Biz bu vaka sunumunda anal inkontinansın cerrahi tedavisinde lokal flap uygulaması ve sfinkteroplasti ile birlikte perineoplasti prosedürü ve literatür derlemesini sunduk.

Anahtar Kelimeler

Anal inkontinans, sfinkteroplasti, perineoplasti

Kaynakça

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