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A Study of the Surgical Anatomy of Congenital Rectobulbar Fistula
Author(s) -
Kitchen P. R. B.
Publication year - 1971
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1971.tb04067.x
Subject(s) - medicine , sling (weapon) , anatomy , fistula , levator ani , deformity , surgery , pelvic floor
The microscopic anatomy of two rectobulbar fistula specimens was studied histologically in serial sections to determine the route taken by the fistulœ and the arrangement of the associated muscles and sphincters. It was found that the sole muscle available for reconstructive sghincter surgery was the levator ani complex, adapted and modified to the visceral ubnormality. In each case, the puborectalis sling was short, aid confluent inferiorly and posteriorly beneath the fistula with the bulbocavernosus muscle. The findings proved to be relevant to the techniques of surgical reconstruction of the anal canal in patients exhibiting this deformity .