Critical anal stricture following haemorrhoidectomy – case study
Journal Title: Nowa Medycyna - Year 2015, Vol 22, Issue 1
Abstract
Anal stricture is defined as a narrowing of the anal diameter with accompanying reduction of tissue elasticity. Secondary causes of anal stricture may be surgery complications, including the most common complication of post-haemorrhoidectomy stenosis. Anal stricture may be a consequence of other proctologic surgeries (anal fissure, fistula) or may result from the use of alternative techniques in the anal canal (e.g. cryotherapy) or be related to inflammatory bowel diseases (Crohn’s disease, ulcerative colitis), radiation or cancers. Conservative treatment is used in most cases of anal stricture, whereas the surgical treatment is reserved for severe, III-degree stricture. This article presents a case of a 61-year old male patient with a critical III-degree anal stricture following Milligan-Morgan haemorrhoidectomy, who had symptoms of subileus. Applied treatment included dissection of stricture and anal anodermal advancement flap-plasty. Post-operative period and wound healing were free of any complications. Subsequent ambulatory control examinations performed over the period of 3 months revealed no symptoms of stricture or incontinence in this patient.Surgical reconstruction of the anal canal by anodermal advancement flap-plasty may be an effective method of treatment of post-haemorrhoidectomy anal stricture.
Authors and Affiliations
Małgorzata Kołodziejczak, Agnieszka Kucharczyk
Keywords
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