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01.10.2008 | Ausgabe 10/2008

World Journal of Surgery 10/2008

Use of “House” Advancement Flap in Anorectal Diseases

Zeitschrift:
World Journal of Surgery > Ausgabe 10/2008
Autoren:
Olcay Alver, Yeliz Emine Ersoy, Ismail Aydemir, Sabri Erguney, Serkan Teksoz, Berat Apaydin, Metin Ertem
Wichtige Hinweise
This work was presented as an oral presentation at the 29th Balkan Medical Week, Varna, Bulgaria, 28–30 September 2006.

Abstract

Background

A retrospective review of 28 patients who had “house flap” anoplasty was carried out to evaluate the therapeutic effectiveness of the procedure.

Methods

House flap anoplasty was performed at Istanbul University Cerrahpasa Medical School, General Surgery Department, in 28 patients over 4 years. Indications were chronic anal fissure, anal stenosis, high transsphincteric fistula, low rectovaginal fistula, anal neoplasia, and obstetric third-degree perineal tear and incontinence. After rectangular excision of the anal or perianal lesion, the “walls” and “roof” of the house flap were incised to the depth of ischiorectal fat. The “base” of this house-shaped flap was then fixed to the top of the excised area.

Results

Median postoperative hospital stay was 4.86 (range = 2–12) days. Postoperative complications included three patients with minimal wound dehiscence and one with rectovaginal fistula recurrence. At a median follow-up of 26.4 (range = 1–46) months, excluding the patient with recurrence, all patients were satisfied with house flap anoplasty.

Conclusion

House advancement flap anoplasty is a relatively simple procedure, combining the beneficial features of rectangular flaps and V-Y plasties. It can be used in nearly all types of anoderm deficiencies with a high rate of success and patient satisfaction.

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