1 Another factor which may prevent occurrence of anal stenosis
after the LUV procedure, is to leave the hemorrhoidal tissue behind after transfixion sutures.
These included the release of a contracture band across the perineum, repair of a single case of anal stenosis
, and multiple small skin grafts to the lower limbs to ensure complete skin cover before reversal of the colostomy.
In control group, one patient developed anal stenosis
Treatment toxicity Toxicity N (%) Acute Radiation dermatitis 7 (27) Thrombocytopenia 1 (3) Neutropenia 1 (3) Mucositis 1 (3) Late Anal stenosis
1 (3) Pain 1 (3) Table 4.
Risk factors predisposing to impacted foreign body by ingestion include the presence of dentures, previous anal surgery complicated by anal stenosis
and alcohol intoxication (5).
For example, despite the 44% complete response rate of fistulas in patients with perianal disease, two patients with perianal fistulas required abscess drainage, and two others underwent repeated anal dilatation for anal stenosis
Appropriate reasons for referral include any suggestion of persistent anal stenosis
, a palpable presacral mass, abnormal position of the anal opening, and Hirschsprung's disease, which can cause chronic constipation with or without abdominal distention.
Long term complications with 3 to 6 months postoperatively in both groups revealed the absence of anal stenosis
, acute anal fissure, faecal incontinence and recurrence however, further follow up is needed.
Qualitative data (frequencies and percentages) such as gender, degree of hemorrhoids, retention of urine, bleeding, wound healing, wound dehiscence, recurrence, anal stenosis
, anal incontinences and wound infection etc.
Lavery said that there is no chance of anal stenosis
in this case which he had just operated.
The study which conflicted in results regarding post operative stricture formation was conducted at Jinnah Hospital, Lahore, according to which the incidence of anal stenosis
was less in closed as compared to open haemorrhoidectomy12.
Contraindications to PPH include anal stenosis
, that is, an anal canal that does not allow the stapler to be inserted.