Full-Thickness Skin Graft Anoplasty

Szeto, Patrick; Ambe, Ronald; Tehrani, Ali; Cagir, Burt

doi:10.1097/dcr.0b013e318236b513

Cited by 3 publications

(5 citation statements)

References 6 publications

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“…Peri‐ or postoperative for 4–5 days [ 2 , 4 , 13 , 15 , 18 , 20 , 21 , 22 , 27 , 28 , 29 , 35 , 38 ]…”

Section: Resultsmentioning

confidence: 99%

“…Sixteen studies on 390 (70.1%) patients described the type of anaesthesia, which was general in five studies ( n = 47 patients) [ 20 , 26 , 27 , 28 , 29 ], spinal in four studies ( n = 36 patients) [ 13 , 24 , 25 , 30 ], local with or without conscious sedation in two studies ( n = 96 patients) [ 21 , 31 ], and either general or spinal in five studies (i.e. mixed patient population; n = 211 patients) [ 2 , 4 , 7 , 15 , 18 ].…”

Section: Resultsmentioning

confidence: 99%

“…While several studies reported the outcomes of the house flap for AS [ 2 , 16 , 18 , 32 , 34 , 35 ], a smaller number described those of a rectal advancement flap [ 7 , 25 , 31 ], anal advancement flap [ 4 ], V–Y flap [ 7 , 36 ] or C‐plasty [ 20 ]. Eight studies reported early experience with more technically demanding operations, but these were limited to one to three cases [ 4 , 14 , 21 , 22 , 24 , 29 , 37 , 38 ].…”

Section: Resultsmentioning

confidence: 99%

“…Full mechanical [20][21][22][23][24][25][26][27] One or two rectal enemas [2, 13, 15, 28] Variable a [18] Lithotomy [2, 4, 13, 15, 20-24, 27, 37] Prone jack-knife [25,26,28,29,34,38] Variable b [18] Peri-or postoperative for 4-5 days [2, 4, 13, 15, 18, 20-22, 27-29, 35, 38] None [25] General [20,[26][27][28][29]] Spinal [13,24,25,30] Local [21,31] Variable c [2,4,7,15,18] a Full only in case of bilateral flap.…”

Section: Type Of Anaesthesiamentioning

confidence: 99%

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Anoplasty for anatomical anal stenosis: systematic review of complications and recurrences

et al. 2022

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Aim:The optimal surgical treatment for anatomical anal stenosis (AS) remains to be determined. The aim of this study was to determine the rates of complications and recurrence after anoplasty for anatomical AS and, wherever feasible, compare the outcomes for the various techniques. Method: A PROSPERO-registered systematic review was reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Medline, PubMed, Embase, Cochrane Library of Systematic Review, Scopus and Web of Science were searched for articles published up to May 2021. Studies that assessed the outcomes of anoplasty in adult patients with anatomical AS were selected. The primary outcomes were complications and recurrence. The methodological quality of studies was appraised using the Joanna Briggs Institute critical appraisal tools. Results: From the total of 2705 unique screened records, 151 were assessed for eligibility. Only 29 studies (two prospective) met the inclusion criteria, reporting data on 556 patients [mean age 53 (18-83) years, 46% female]. Previous history of surgery for haemorrhoidal disease accounted for three quarters of cases. A total of 14 types of anoplasty were found, with the Y-V flap being the most performed technique [27% of cases (n = 149)]. Complications frequently occurred, with a pooled prevalence of 10.2% (95% CI 3.9%-24.1%) after Y-V flap and 11.5% (5.3%-23.0%) after rhomboid/diamond flap. Patients undergoing house flap achieved better results in terms of clinical improvement, satisfaction and quality of life compared with Y-V flap and rhomboid/diamond flap. Whenconsidering only studies with at least 12 months of follow-up, the pooled prevalence of recurrence was 4.7% (2.2%-9.8%), with significantly higher rates observed in the prospective versus retrospective series [pooled prevalence 18.9% (11.5%-29.5%) vs. 3.6%(1.7-7.8%), respectively; p < 0.001].

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“…Peri‐ or postoperative for 4–5 days [ 2 , 4 , 13 , 15 , 18 , 20 , 21 , 22 , 27 , 28 , 29 , 35 , 38 ]…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Type Of Anaesthesiamentioning

confidence: 99%

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Anoplasty for anatomical anal stenosis: systematic review of complications and recurrences

et al. 2022

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“…Various surgical techniques for the treatment of anal stenosis have been described in the literature, including split‐thickness skin graft (STSG) or local skin flap. However, there are difficulties with STSG, including infection, long‐term confinement in the prone position to immobilize the skin graft and graft contracture resulting in anal stenosis again. However, flap reconstruction can result in problems, including suture line contracture, disturbance of walking due to loss of the natal cleft and skin faecal soiling due to hypoaesthesia of the flap.…”

Section: Discussionmentioning

confidence: 99%

Anal reconstruction after a rare complication of routine haemorrhoid treatment

2016

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Anal stenosis is a well-documented complication that can occur from anorectal surgery. This condition can be disabling and causes significant patient discomfort. Various surgical techniques for the treatment of anal stenosis have been described in the literature, however, its successful management still remains as a technical challenge. Here, we present a case of a patient who suffered from anal stenosis after a complication of sclerotherapy treatment of haemorrhoid, which was successfully managed by anal reconstruction with V-Y advancement flaps.

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