PFD Week 2017-Autologous Fascia Lata Spiral Sling Anal Sphincteroplasty: Salvage Repair for Fecal Incontinence

Autologous Fascia Lata Spiral Sling Anal Sphincteroplasty: Salvage Repair for Fecal Incontinence

Video Transcription

Video Summary

This video demonstrates the autologous fasciolata spiral sling anal sphinctroplasty procedure. The patient is in lithotomy position, and the anal canal is found to be incompetent. Four incisions are made at the 12, 3, 6, and 9 o'clock positions around the anus. Dissection is performed to create a tunnel in the perirectal space. Large clamps are used to create space for the fascial sling. The sling is transferred from one incision to another, and the same is done on the other side. The free ends of the sling are crossed over and traction is applied. Sutures are placed to secure the graft ends, and the wound is closed in two layers.

Asset Subtitle

My-Linh (Mimi) Nguyen, MD

Keywords

autologous fasciolata spiral sling anal sphinctroplasty procedure

lithotomy position

incompetent anal canal

perirectal space

fascial sling