Anorectal plastic surgery: Indications, techniques, results

Anal canal stenosis with alteration of the sensoric continence or mucosal e ctropion may occur after anorectal operations. Island flaps with perianal s kin or the VY-anoplasty are simple plastic methods to reconstruct the anore ctal region and cure patients - who often have suffered for a long time - f rom anal strictures or mucosal ectropion. In the period from 1994-1998 we r econstructed the anodermal region of seven patients using one of the above mentioned anorectal plastic procedures. Three patients complained of an ana l stenosis and one patient suffered from an ectropion of the rectal mucosa after an improperly performed Whitehead hemorrhoidectomy. Three patients ha d a sensomotoric incontinence twice due to a congenital anal atresia and in one case caused by an accident. AU patients were highly pleased after the operation - no complication occurred.