title: [Surgical treatment of anal stenosis following hemorrhoid surgery. Results of 150 combined mucosal advancement and internal sphincterotomy].
abstract: The aim of the study was to evaluate the efficacy of anoplasty by mucosal advancement combined with internal sphincterotomy for the treatment of iatrogenic anal stenosis. From January 1990 to December 2000, 149 patients with post-haemorrhoidectomy anal strictures underwent internal sphincterotomy and mucosal advancement flap anoplasty. Seventy-one percent of patients were operated on under local anaesthesia by perineal block according to Marti. In 90 percent of the patients, postoperative pain was mild. No significant complications were seen. The mean hospital stay was two days. Ninety-seven percent of patients were well satisfied with the surgical result one year after operation. Current surgical options for the treatment of post-haemorrhoidectomy anal stricture are reported and the advantages of mucosal advancement flap anoplasty outlined.
authors.affiliation: Dipartimento di Discipline Chirurgiche Generali e Speciali Policlinico Universitario di Messina.
authors.forename: Antonio
authors.initials: A
authors.lastname: Carditello
authors.forename: Antonino
authors.initials: A
authors.lastname: Milone
authors.forename: Francesco
authors.initials: F
authors.lastname: Stilo
authors.forename: Francesco
authors.initials: F
authors.lastname: Mollo
authors.forename: Maurizio
authors.initials: M
authors.lastname: Basile
mesh_terms: D001003:Anal Canal / Q000601:surgery*; D001004:Anus Diseases / Q000601:surgery*; D003251:Constriction, Pathologic / Q000601:surgery; D013505:Digestive System Surgical Procedures / Q000379:methods; D005260:Female; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D007413:Intestinal Mucosa / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*