AI Article Synopsis
- Anal stenosis is a common complication following aggressive hemorrhoid surgeries, significantly impacting patients' quality of life, mainly due to the use of advanced surgical technologies.
- While mild anal stenosis can be managed non-surgically, more severe cases require surgical reconstruction due to complications like severe pain and difficulty in defecating.
- Traditional treatments like lateral internal sphincterotomy often fail for anal stenosis because chronic fibrosis prevents skin stretching; therefore, surgical solutions typically involve using various flap techniques to restore anal function.
Article 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 summarize most-used surgical techniques for anal stenosis regarding functional and surgical outcomes.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8954788 | PMC |
| http://dx.doi.org/10.3390/medicina58030362 | DOI Listing |
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