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Transverse rectus abdominis myocutaneous (TRAM) flap [5] Musculocutaneous: Free flap: Free flap breast reconstruction: Transverse upper gracillis (TUG) flap: Musculocutaneous: Free flap: Free flap breast reconstruction: V-Y advancement flap: Cutaneous: Advancement: Rhinoplasty: Worthen forehead flap: Cutaneous: Rotation: Forehead excisions ...
Lateral internal sphincterotomy is the preferred method of surgery for persons with chronic anal fissures, and is generally used when medical therapy has failed. [1] It is associated with a lower rate of side effects than older techniques such as posterior internal sphincterotomy and anoplasty, [3] and has also been shown to be superior to topical glyceryl trinitrate (GTN 0.2% ointment) in ...
Flap surgery is a technique in plastic and reconstructive surgery where tissue with an intact blood supply is lifted from a donor site and moved to a recipient site. Flaps are distinct from grafts, which do not have an intact blood supply and relies on the growth of new blood vessels. Flaps are done to fill a defect such as a wound resulting ...
Surgical Therapy (for chronic fissures or when non-surgical therapy fails) : Anal Dilation, [8] Lateral Internal Sphincterotomy, Advancement Flaps, Fissurectomy. Anorectal Abscess and Fistula Painful swelling, [ 5 ] Redness, Pain, [ 10 ] Bloody diarrhea, [ 11 ] an opening can point to a fistula, with or without drainage [ 5 ] with itchiness.
The surgeon can perform the simplest technique by making a horizontal incision and closing along the longitudinal axis. However, the methods that give patients higher satisfaction are the single or double Z-plasty or V-Y advancement flap because they also can increase the penile length. [15]
An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation , [ 1 ] but with chronic fissures, pain intensity often reduces and becomes cyclical.
Anal sphincterotomy is a surgical procedure that involves treating mucosal fissures from the anal canal/sphincter. [ 1 ] [ 2 ] The word is formed from sphincter + otomy (to cut, to separate). [ 3 ]
Anal encirclement effectively supplements the anal sphincter, narrowing the anal canal and its barrier function to stool, without altering voluntary control. Since complications are common, and can be serious (fecal impaction, infection, erosion of encirclement through anal canal), modern surgeons prefer to perform colostomy. [5]