A wrap-around procedure using the gluteus maximus muscle for the functional reconstruction of the sphincter in a case of anal incontinence

Abstract

A successful case in which a wrap-around procedure using the gluteus maximus muscle for the functional reconstruction of anal incontinence has been described. The case was a 38-year-old woman whose sphincter ani muscle was severed by the perineal incision at the time of delivery. Muscle-tightening of the levator ani and sphincter ani muscles was performed, and the distally based bilaterally split gluteus maximus muscle flap produced a forceful rectal contracting function.