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Anoplasty for stenosis and other anorectal defects
A R González1, O de Oliveira, R Verzaro
1Department of Colorectal Surgery, Cleveland Clinic Florida, Fort Lauderdale 33309, USA.
The American Surgeon
|June 1, 1995
Summary
Anoplasty effectively treats anorectal strictures, improving symptoms like constipation and pain. This surgical approach demonstrated good results in 16 out of 17 patients, with minimal complications.
Area of Science:
- Colorectal Surgery
- Gastroenterology
Background:
- Anorectal strictures present a persistent clinical challenge.
- Surgical interventions are often necessary for effective management.
Purpose of the Study:
- To evaluate the institutional experience with anoplasty for treating anorectal strictures.
- To assess the efficacy and safety of anoplasty in a patient cohort.
Main Methods:
- A retrospective review of 17 patients undergoing anoplasty between 1989 and 1994.
- Procedures included S-plasty and advancement flaps.
- Clinical examination and symptom assessment were used for evaluation.
Main Results:
- 16 out of 17 patients experienced good surgical outcomes with symptom improvement and preserved continence.
- Common presenting symptoms included constipation, rectal bleeding, and pain.
- Anal stenosis was the most frequent diagnosis (76.4%).
Conclusions:
- Anoplasty is a safe and successful treatment option for anorectal strictures.
- The procedure offers significant symptom relief and maintains anal function.
- Advancement flaps were the predominant surgical technique used.