Diseases of the Colon & Rectum

, Volume 33, Issue 7, pp 581–583 | Cite as

Island flap anoplasty for the treatment of anal stricture and mucosal ectropion

  • Russell K. Pearl
  • Vendie H. HooksIII
  • Herand Abcarian
  • Charles P. Orsay
  • Richard L. Nelson
Original Contributions
  • 32 Downloads

Abstract

Twenty patients with benign anal strictures and five patients with mucosal ectropion were treated with island flap anoplasty. U-shaped or diamond-shaped islands of perianal skin were created, without undermining, and advanced into the anal canal to remedy the stricture or site of ectropion. Over a postoperative follow-up period that averaged 19 months, 16 patients judged their clinical results as excellent and 7 as good. There were two failures. In all patients the skin flaps survived, even in the elderly patients. Island flap anoplasty is a simple, effective alternative to other forms of anoplasty such as Y-V advancement or S-plasty.

Key words

Anal stenosis Stricture Ectropion Anoplasty Whitehead deformity 

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    Ferguson JA. Repair of “Whitehead deformity” of the anus. Surg Gynecol Obstet 1959;108:115–6.Google Scholar

Copyright information

© American Society of Colon and Rectal Surgeons 1990

Authors and Affiliations

  • Russell K. Pearl
    • 1
    • 2
    • 3
  • Vendie H. HooksIII
    • 1
    • 2
    • 3
  • Herand Abcarian
    • 1
    • 2
    • 3
  • Charles P. Orsay
    • 1
    • 2
    • 3
  • Richard L. Nelson
    • 1
    • 2
    • 3
  1. 1.Section of Colon and Rectal SurgeryCook County HospitalChicago
  2. 2.Department of SurgeryUniversity of Illinois College of MedicineChicago
  3. 3.Medical College of GeorgiaAugusta

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