Use of "house" advancement flap in anorectal diseases


Creative Commons License

Alver O., ERSOY Y. E. , Aydemir I., Erguney S., Teksoz S. , Apaydin B. , ...More

WORLD JOURNAL OF SURGERY, vol.32, no.10, pp.2281-2286, 2008 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 32 Issue: 10
  • Publication Date: 2008
  • Doi Number: 10.1007/s00268-008-9699-1
  • Title of Journal : WORLD JOURNAL OF SURGERY
  • Page Numbers: pp.2281-2286

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

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