Results of the smooth-muscle fold-over double-plasty (SMFD)

S. Hofmann-von Kap-herr, R. Grüssner, J. L. Koltai

Research output: Contribution to journalArticlepeer-review


Since 1980, when we developed substitute for the internal anal sphicter, the smooth-muscle fold-over double-plasty (SMFD-plasty), we have operated on seven children using this method, usually in combination with the pull-through procedure, and on five children after one or more previous operations. Since 1983, 11 cases with previous operations have undergone the modified "door-wing" SMFD-plasty. The results are excellent if the operation is used in primary combination with the pull-through procedure or if the "door-wing" modification is combined with reconstruction of the pelvic floor. It is also necessary that all cases undergo a biofeedback conditioning program.

Original languageEnglish (US)
Pages (from-to)43-45
Number of pages3
JournalPediatric Surgery International
Issue number1
StatePublished - Mar 1986
Externally publishedYes


  • Modified "door-wing" SMFD-plasty
  • SMFD-plasty

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery


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