Lateral mucosal advancement anoplasty for anal stricture

Treatment of Anal Stenosis: A 5‐year Review

“…Conservative management with diet and fibre supplements has been suggested in the management of mild stenosis. Surgical repair of the anal stenosis with advancement and rotational flaps involving skin, mucosa or both has a successful rate of more than 80% with low morbidity, complete resolution of symptoms and good acceptance from the patient 1–6 …”

Surgical treatment of anal stenosis

“…Rakhmanine and colleagues [24] published a study in which 95 patients underwent lateral mucosal advancement anoplasty. Mean follow up was 50 mo.…”

“…This is a modification of Martin's anoplasty ( Figure 1A) [1,23,24] . A midlevel stenosis is corrected by excision of the scar tissue.…”

“…A significant advantage of these flaps over the Y-V anoplasty is that there is significantly greater mobility of the flap, so it can be advanced well into the anal canal. The diamond flap, House flap, and island flap have all been reported to yield excellent results [3][4][5][6][7][8]10,15,19,20,[22][23][24][25][26][27][28][29][30][31][32][34][35][36][37][38][39][40][41][42][43][44] . The type of flap to be used is based on the surgeon's familiarity and choice as well as the patient's anatomy and the availability of adequate perianal skin for use in the various flaps.…”

“…Y-V anoplasty ---100 3 Rakhmanine et al [24] 95 Lateral mucosal advancement anoplasty 74 -8 90 Carditello et al [36] 149…”