The midline of the skin was closed, and the anoplasty
was completed by suturing the rectal section to be anastomized to the skin so that it remained within the borders of the external sphincter (Figure 6).
In addition, other treatment approaches may be adapted which include endorectal muscular or mucosal advancement flap, fistulous tract filling with fibrin or cyanoacrylate glue, island flap anoplasty
, anal fistula plug, ayurvedic seton, radiofrequency ablation, glue containing adipose-derived stem cells, ligation of intersphincteric fistula tract and video-assisted anal fistula treatment8.
60 neonates had low anomaly and were treated with anoplasty
Indications for internal medioposterior with anoplasty
of lateral sphincterectomy during hemorrhoidectomy.
Three neonates required additional surgery at the time of TOF-OA repair: one term neonate required a minor anoplasty
and two preterm patients required laparotomy (a Ladd's procedure and colostomy for imperforate anus respectively).
Bhasker Patel, a cardiologist, admitted Lewellyn Ouellette to a hospital for a percutaneous transluminal (balloon) anoplasty
of his right superficial femoral artery.
10) It is associated with a lower rate of side effects than older techniques, such as posterior internal sphincterotomy and anoplasty
Then the anoplasty
was done with four stitches at 12, 3, 6, 9'o clock and two more in between them to create neo-anal opening with the Hegar dilator and the guide to ensure adequate sizing.
Various small studies have shown success with advancement anoplasty
, or fissurectomy with advancement anoplasty
, in patients with low-pressure anal fissures with success rates ranging from 87% to 100%.
All these patients were operated upon by 5 different surgeons; 4 of them used the conventional technique of PSARP as advocated by Pena, whereas one surgeon did some modification by not cutting the vertical muscle complex and anoplasty
was done with moderate tension, thereby allowing a skin-lined anal canal.
Operative procedures for-Low anomalies: Anoplasty
, cutback V-Y Anoplasty
, Primary minimal PSARP, Intermediate anomalies: Anoplasty
followed by limited PSARP, High anomalies: 3 stage repair with colostomy, PSARP and colostomy closure was done.