[Surgical treatment of anal stenosis following hemorrhoid surgery. Results of 150 combined mucosal advancement and internal sphincterotomy].

Abstract

The aim of the study was to evaluate the efficacy of anoplasty by mucosal advancement combined with internal sphincterotomy for the treatment of iatrogenic anal stenosis. From January 1990 to December 2000, 149 patients with post-haemorrhoidectomy anal strictures underwent internal sphincterotomy and mucosal advancement flap anoplasty. Seventy-one percent of patients were operated on under local anaesthesia by perineal block according to Marti. In 90 percent of the patients, postoperative pain was mild. No significant complications were seen. The mean hospital stay was two days. Ninety-seven percent of patients were well satisfied with the surgical result one year after operation. Current surgical options for the treatment of post-haemorrhoidectomy anal stricture are reported and the advantages of mucosal advancement flap anoplasty outlined.

• Authors: Antonio Carditello, Antonino Milone, Francesco Stilo, Francesco Mollo, Maurizio Basile
• Journal: Chirurgia italiana (Chir Ital) 2002 Nov-Dec Vol. 54 Issue 6 Pg. 841-4 ISSN: 0009-4773 [Print] Italy
• Vernacular Title: Il trattamento chirurgico delle stenosi anali post-emorroidectomia. Risultati di 150 interventi di anoplastica per scorrimento mucoso e sfinterotomia interna.
• PMID: 12613333 (Publication Type: English Abstract, Journal Article)

Topics

• Anal Canal (surgery)
• Anus Diseases (surgery)
• Constriction, Pathologic (surgery)
• Digestive System Surgical Procedures (methods)
• Female
• Hemorrhoids (surgery)
• Humans
• Intestinal Mucosa (surgery)
• Male
• Middle Aged
• Postoperative Complications (surgery)