Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

New Techniques in Hemorrhoidal Disease but the Same Old Problem: Anal Stenosis

Version 1 : Received: 26 December 2021 / Approved: 29 December 2021 / Online: 29 December 2021 (12:18:26 CET)

How to cite: Leventoglu, S.; Mentes, B.; Balci, B.; Kebiz, H.C. New Techniques in Hemorrhoidal Disease but the Same Old Problem: Anal Stenosis. Preprints 2021, 2021120465 (doi: 10.20944/preprints202112.0465.v1). Leventoglu, S.; Mentes, B.; Balci, B.; Kebiz, H.C. New Techniques in Hemorrhoidal Disease but the Same Old Problem: Anal Stenosis. Preprints 2021, 2021120465 (doi: 10.20944/preprints202112.0465.v1).

Abstract

Anal stenosis, which develops as a result of aggressive excisional hemorrhoidectomy, especially with the stoutly use of advanced technologies (LigaSure, Ultrasonic Dissector, Laser, etc.), has become common, causing significant deterioration in the patient's quality of life. Although non-surgical treatment is effective for mild anal stenosis, surgical reconstruction is unavoidable for moderate to severe anal stenosis that causes distressing, severe anal pain, and inability to defecate. The problem in anal stenosis, unlike anal fissure, is that the skin does not stretch as a result of chronic fibrosis due to surgery. Therefore, the application of lateral internal sphincterotomy does not provide satisfactory results in the treatment of anal stenosis. Surgical treatment methods are based on the use of flaps of different shapes and sizes to reconstruct the anal caliber and flexibility. This article aims to review the functional results, postoperative care, and complications of these methods.

Keywords

Anal stenosis; hemorrhoidectomy; diamond flap; house advancement flap; rhomboid flap; Y-V flap

Subject

MEDICINE & PHARMACOLOGY, Other

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