Island flap anoplasty for the treatment of anal stricture and mucosal ectropion.
Twenty patients with benign anal strictures and five patients with mucosal ectropion were treated with island flap anoplasty. U-shaped or diamond-shaped islands of perianal skin were created, without undermining, and advanced into the anal canal to remedy the stricture or site of ectropion. Over a postoperative follow-up period that averaged 19 months, 16 patients judged their clinical results as excellent and 7 as good. There were two failures. In all patients the skin flaps survived, even in the elderly patients. Island flap anoplasty is a simple, effective alternative to other forms of anoplasty such as Y-V advancement or S-plasty.
Pearl
R K
RK
Section of Colon and Rectal Surgery, Cook County Hospital, Chicago, Illinois 60612.
Hooks
V H
VH
Abcarian
H
H
Orsay
C P
CP
Nelson
R L
RL
D000328:Adult; D000368:Aged; D001003:Anal Canal / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D003251:Constriction, Pathologic / Q000503:physiopathology / Q000601:surgery; D003672:Defecation; D005260:Female; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D007413:Intestinal Mucosa / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D013524:Surgical Flaps / Q000379:methods*