Surgical management of anal stenosis: anoplasty with or without sphincterotomy

Journal of Coloproctology - Tập 37 - Trang 13-17 - 2017
Mehdi Tahamtan1, Leila Ghahramani1, Hajar Khazraei1, Yaser Tolouei Tabar1, Alimohammad Bananzadeh1, Seyed Vahid Hosseini1, Ahmad Izadpanah1, Fahime Hajihosseini1
1Shiraz University of Medical Sciences, Colorectal Research Center, Shiraz, Iran

Tóm tắt

Abstract Aim Anal stenosis is an uncommon complication of anorectal surgery, mostly resulting from circumferential hemorrhoidectomy or resection of the skin tag in surgical management of chronic anal fissure. The aim of anoplasty is to restore normal function to the anus by dividing the stricture and widening the anal canal. Internal sphincterotomy may cause gas incontinence and if we manage the stenosis without sphincterotomy it could be failed. Could we use anoplasty without sphincterotomy? Method The patients with anal stenosis were assigned in to two groups. The first group underwent Y-V anoplasty without partial lateral internal sphinctrotomy and the second one underwent Y-V anoplasty with partial lateral internal sphinctrotomy. Result A total of 25 patients (10 male and 15 female) underwent anoplasty, 14 without partial lateral internal sphincterotomy and 11 patients with partial lateral internal sphincterotomy. The healing rate of stenosis was 91% and 93% in groups undergoing anoplasty without partial lateral internal sphinctrotomy and anoplasty with partial lateral internal sphictrotomy, respectively (p value 0.69). There was no significant change in both groups for post-operative incontinence complaints. Conclusion The healing rate of anal stenosis was the same in the patients who underwent Y-V anoplasty with or without partial lateral internal sphinctrotomy. There was no significant change in post-operation incontinence between the two groups. Therefore, Y-V anoplasty would be a safe and simple surgical method in selected patients. Partial lateral internal sphinctrotomy procedure has been noticed in individual cases.

Tài liệu tham khảo

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Thông tin xuất bản

Journal of Coloproctology

Tập 37

13-17

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