Anal Stenosis
Conditions
Keywords
anal stenosis, anoplasty, V-Y advancement flap
Brief summary
anal stenosis is a common complication after massive open hemorrhoidectomy. it interferes with the patient daily activities. Many interventions were described, but there is no standard treatment. Data were always lost about the best intervention. In this study we try to discover if V-Y advancement flap can effectively treat anal stenosis or not.
Interventions
anal stenosis treated by removal of scarring tissue and cover the defect using V-Y advancement flap
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients of both sexes aged ≥ 18years old with moderate to severe post- hemorrhoidectomy anal stenosis
Exclusion criteria
* pregnant females * patient with prior radiation * patient with T.B * Patient with Crohn's disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| healing time | healing duration in days calculated from the first day post operative to 3 months | healing time was measured in days |
| post-operative analgesia | from one day to 2 weeks post operative | analgesia doses requirements of NSAIDs were measured in ml |
| hospital stay | for 1 to 2 days after surgery | the duration of hospital stay was measured in days |
| operative time | Intraoperative (operative time is measured in minutes from incision to wound dressing) | — |
| pain score | from one day to 6 months postoperative | pain score was measured by visual analogue scale. maximum value 10 indicated very painful while minimum value 0 meant painless |
| bleeding amount | from incision to 2 weeks after surgery | intra and post operative bleeding amount is measured in cc by volumetric method |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| sex | 2 days pre-operative | sex (male or female) was recorded |
| age | for 2 days before surgery | age was recorded in years |
Countries
Egypt