House advancement flap anoplasty for severe post-hemorrhoidectomy anal stenosis

  • T. AcarEmail author
  • N. Acar
  • F. Tosun
  • Ç. Ayaroğlu
  • M. Haciyanli
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Anal stenosis (AS), which is a very rare but serious complication, usually develops after hemorrhoidectomy. It may be mild, moderate or severe depending on the grade of stenosis. While mild and moderate types can be monitored with conservative treatment, most of the severe type require advancement flap anoplasty. There are several commonly used flap types such as Y-V, diamond and house-type flaps, but the best results belong to house-type flaps. In this paper, we aimed to present a case of severe post-hemorrhoidectomy AS, in which we performed house advancement flap anoplasty, with its video demonstrating the procedure step by step.


Anal stenosis Anoplasty House advancement flap 



The authors thank all the general surgery staff for their cooperation.

Compliance with ethical standards

Conflict of interest

The authors have no conflict of interest and no financial issues to disclose.

Ethical approval

All the authors read and approved the paper.

Informed consent

Written informed consent was obtained from the patient’s legal guardian(s) for publication of this case report and any accompanying images.

Supplementary material

Supplementary file1 (MOV 2,67,485 kb)


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of General Surgeryİzmir Katip Çelebi University Atatürk Training and Research HospitalIzmirTurkey

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