| Autor: |
Yu-Tse, Weng, Kuan-Jung, Chu, Kuan-Hsun, Lin, Chun-Kai, Chang, Jung-Cheng, Kang, Chao-Yang, Chen, Je-Ming, Hu, Ta-Wei, Pu |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
World Journal of Clinical Cases. 10:7698-7707 |
| ISSN: |
2307-8960 |
| DOI: |
10.12998/wjcc.v10.i22.7698 |
| Popis: |
Anal stenosis is a rare but frustrating condition that usually occurs as a complication of hemorrhoidectomy. The severity of anal stenosis can be classified into three categories: mild, moderate, and severe. There are two main surgical treatments for this condition: scar revision surgery and anoplasty; however, no studies have compared these two approaches, and it remains unclear which is preferrable for stenoses of different severities.To compare the outcomes of scar revision surgery and double diamond-shaped flap anoplasty.Patients with mild, moderate, or severe anal stenosis following hemorrhoidectomy procedures who were treated with either scar revision surgery or double diamond-shaped flap anoplasty at our institution between January 2010 and December 2015 were investigated and compared. The severity of stenosis was determinedWe analyzed 60 consecutive patients, including 36 men (60%) and 24 women (40%). The mean operative time for scar revision surgery was significantly shorter than that for double diamond-shaped flap anoplasty (10.14 ± 2.31 [range: 7-15] minScar revision surgery may be preferable for mild anal stenosis upon conservative treatment failure. Anoplasty is unavoidable for moderate or severe stenosis, where cicatrized tissue is extensive. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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