Abstract
Treatment of anal fistula can be difficult for both the patient and the surgeon, as fistulas can be difficult to eliminate even under the best of circumstances. One procedure which surgeons who treat fistulas should be familiar with is the dermal advancement flap. This procedure is associated with a good success rate and avoids division of the anal sphincters. It can be particularly useful in cases with coexisting anal pathology such as anal stenosis. The technique of dermal advancement flap, results, and comparison to other procedures for the treatment of anal fistula are discussed.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Alver O, Ersoy YE, Aydemir I, Erguney S, Teksoz S, Apaydin B, et al. Use of “house” advancement flap in anorectal diseases. World J Surg. 2008;32(10):2281–6.
Athanasiadis S, Yazigi R, Kohler A, Helmes C. Recovery rates and functional results after repair for rectovaginal fistula in Crohn’s disease: a comparison of different techniques. Int J Colorectal Dis. 2007;22(9):1051–60.
Ho KS, Ho YH. Controlled, randomized trial of island flap anoplasty for treatment of trans-sphincteric fistula-in-ano: early results. Tech Coloproctol. 2005;9(2):166–8.
Sentovich SM, Falk PM, Christensen MA, Thorson AG, Blatchford GJ, Pitsch RM. Operative results of house advancement anoplasty. Br J Surg. 1996;83(9):1242–4.
Jun SH, Choi GS. Anocutaneous advancement flap closure of high anal fistulas. Br J Surg. 1999;86(4):490–2.
Nelson RL, Cintron J, Abcarian H. Dermal island-flap anoplasty for transsphincteric fistula-in-ano: assessment of treatment failures. Dis Colon Rectum. 2000;43(5):681–4.
Sungurtekin U, Sungurtekin H, Kabay B, Tekin K, Aytekin F, Erdem E, et al. Anocutaneous V-Y advancement flap for the treatment of complex perianal fistula. Dis Colon Rectum. 2004;47(12):2178–83.
Robertson WG, Mangione JS. Cutaneous advancement flap closure: alternative method for treatment of complicated anal fistulas. Dis Colon Rectum. 1998;41(7):884–6; discussion 6–7.
Hossack T, Solomon MJ, Young JM. Ano-cutaneous flap repair for complex and recurrent supra-sphincteric anal fistula. Colorectal Dis. 2005;7(2):187–92.
Zimmerman DD, Briel JW, Gosselink MP, Schouten WR. Anocutaneous advancement flap repair of transsphincteric fistulas. Dis Colon Rectum. 2001;44(10):1474–80.
Hesterberg R, Schmidt WU, Muller F, Roher HD. Treatment of anovaginal fistulas with an anocutaneous flap in patients with Crohn’s disease. Int J Colorectal Dis. 1993;8(1):51–4.
Ellis CN, Clark S. Effect of tobacco smoking on advancement flap repair of complex anal fistulas. Dis Colon Rectum. 2007;50(4):459–63.
Ellis CN, Clark S. Fibrin glue as an adjunct to flap repair of anal fistulas: a randomized, controlled study. Dis Colon Rectum. 2006;49(11):1736–40.
Chew SS, Adams WJ. Anal sphincter advancement flap for low transsphincteric anal fistula. Dis Colon Rectum. 2007;50(7):1090–3.
Amin SN, Tierney GM, Lund JN, Armitage NC. V-Y advancement flap for treatment of fistula-in-ano. Dis Colon Rectum. 2003;46(4):540–3.
Penninckx F, Moneghini D, D’Hoore A, Wyndaele J, Coremans G, Rutgeerts P. Success and failure after repair of rectovaginal fistula in Crohn’s disease: analysis of prognostic factors. Colorectal Dis. 2001;3(6):406–11.
Koehler A, Risse-Schaaf A, Athanasiadis S. Treatment for horseshoe fistulas-in-ano with primary closure of the internal fistula opening: a clinical and manometric study. Dis Colon Rectum. 2004;47(11):1874–82.
Del Pino A, Nelson RL, Pearl RK, Abcarian H. Island flap anoplasty for treatment of transsphincteric fistula-in-ano. Dis Colon Rectum. 1996;39(2):224–6.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Jensen, C.C. (2014). Dermal Advancement Flap. In: Abcarian, H. (eds) Anal Fistula. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9014-2_15
Download citation
DOI: https://doi.org/10.1007/978-1-4614-9014-2_15
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-9013-5
Online ISBN: 978-1-4614-9014-2
eBook Packages: MedicineMedicine (R0)