Metrics details. Surgical closure of anal fistulas with rectal advancement flaps is an established standard method, but it has a high degree of healing failure in some cases. Patients were entered into a prospective database, and healing rates were retrospectively analysed. The overall complication rate was 5. CD patients were younger 33 vs. Although patients with CD display different patient-specific characteristics, no independent factors for the occurrence of anal fistula healing failure could be determined.
Advancement flap in the management of chronic anal fissure: a prospective study
Endorectal Advancement Flap Los Angeles | FissureSurgeryMD
The endorectal advancement flap is another treatment alternative for anal fistulas. Often reserved for patients with complex perianal fistulas, this procedure is performed to cover any fistulous opening with healthy tissue to stop the recurrence. Specific treatment depends on where the fistula lies and which parts of the anal sphincter it crosses. Our colorectal surgeries have decades of experience in perianal fistula conditions and treatment options. They have seen hundreds of patients and can provide a knowledge-based perspective on what treatment choice will provide the best resolution.
There are a number of surgical options to cure anal fissures , including dermal flap coverage also known as an anal advancement flap in which adjacent skin dermal flap can be moved into the anus to cover the fissure. Anal advancement flap is an alternative to lateral internal sphincterotomy LIS for chronic anal fissures. Not only does it provide comparable results to LIS, but there is also a low incidence of incontinence. Request your consultation today.
Lateral internal sphincterotomy is the surgical treatment of choice of chronic anal fissure after failure of conservative measures. Fissurectomy is the most commonly used procedure to preserve the integrity of the anal sphincters. However, a possible complication is keyhole defect that may lead to faecal soiling. In this study, chronic anal fissure CAF was treated by fissurectomy and anal advancement flap to preserve the anatomo-functional integrity of sphincters and to reduce healing time and the risk of anal stenosis.