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Use of “House” Advancement Flap in Anorectal Diseases

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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.

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Acknowledgment

We dedicate this article to our honorable and precious colleague and master Professor Ismail Aydemir who passed away last year.

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Authors and Affiliations

  1. General Surgery Department, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey

    Olcay Alver, Ismail Aydemir, Sabri Erguney, Serkan Teksoz, Berat Apaydin & Metin Ertem

  2. II General Surgery Clinic, Vakif Gureba Research and Training Hospital, Istanbul, Turkey

    Yeliz Emine Ersoy

  3. Estonsehir 1. Mahalle, KV 28/1, Bahcesehir Yani, Kücükcekmece 34306, Istanbul, Turkey

    Yeliz Emine Ersoy

Authors
  1. Olcay Alver
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  2. Yeliz Emine Ersoy
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  3. Ismail Aydemir
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  4. Sabri Erguney
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  5. Serkan Teksoz
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  6. Berat Apaydin
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  7. Metin Ertem
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Correspondence to Yeliz Emine Ersoy.

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Alver, O., Ersoy, Y.E., Aydemir, I. et al. Use of “House” Advancement Flap in Anorectal Diseases. World J Surg 32, 2281–2286 (2008). https://doi.org/10.1007/s00268-008-9699-1

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  • DOI: https://doi.org/10.1007/s00268-008-9699-1

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