euro-gastro-2018-scientifictracks

10 / 25

6 t h A n n u a l E u r o p e a n C o n f e r e n c e o n
Gastroenterology
Euro Gastro 2018
J u n e 1 9 - 2 0 , 2 0 1 8
P a r i s , F r a n c e
Page 32
Journal of Clinical Gastroenterology and Hepatology
ISSN 2575-7733
Introduction: Anal stenosis is not a rare disease, as it is believed by many. It
happens when the normal skin of the anus is replaced with fibre, tough and
non-elastic tissue. There are many reasons causing stenosis. Actually, most of
themare due to secondary reasons. The aimof this presentation is tomake clear
the causes that are leading to stenosis and how to avoid them. Meanwhile, a
reference to the surgical procedure that has the best results in patient’s follow-
up, is considered. Many technical aspects have been used for the treatment of
anal stenosis. We perforated house anoplasty with advancement flap. This is
a retrospective review of 16 patients to whom house anoplasty was perforated
and evaluated the therapeutic effectiveness of the procedure.
Methods: House flap anoplasty was performed in 16 patients from 2010 to
2017. The patients suffered from chronic anal fissure, haemorrhoidectomy
(Logo, Milligan-Morgan simple or Ligasure assisted), transsphincteric fistula
and anal tumours.
Results: Postoperative hospital stay was between 3 to 5 days. There were no
postoperative complications to any of the patients, regarding the advancement
house flap. In a 24 months follow-up, there was no recurrence of stenosis.
Conclusion: House advancement flap anoplasty is a safe and well perforated
procedure. It combines the advantages of triangular or rhomboid flaps and V-Y
flaps in one technique. It can be used at almost all types of stenosis deficiencies
andwhen the operation is perforated fromsurgeonwith appropriate experience,
it has a high rate of success and patient therapeutic results.
Biography
Stefanos Psomas has been qualified as a General Surgeon
since 2005. He has been working in Greece and in UK as a
Consultant General Surgeon specialized in Colorectal and
Anorectal diseases. He had participated in many congresses
and has a professional membership of Greek Breast Surgery
Society. International Colorectal Cancer Club (ICRCC) and
others. He had published many papers and had participated
in research. For the last 15 years, he is working in private in
Interbalkan Medical Centre in Northern Greece and in Northern
General Hospital, NHS, UK as a Consultant General Surgeon in
both.
House anoplasty with advancement flap for the treatment of
ano-rectal stenosis
Psomas S1,2 and Nikopolitidis V1
1Interbalkan Medical Centre, Greece
2Northern General Hospital, UK
Psomas S et al., J Clin Gastroenterol Hepatol 2018, Volume: 2
DOI: 10.21767/2575-7733-C1-002