Anal reconstruction

ANAL RECONSTRUCTION Dr Arindam Ghosh MS, M Ch (Gastroenterology Surgery) Senior Consultant

Dr Harpal Singh MS, DNB (Surgical Gastroenterology) Associate Consultant

Deptt of Surgical Gastroenterology, HPB & GI oncology, Advanced Laparoscopic Digestive & Metabolic surgery, Satguru Partap Singh Hospitals, Ludhiana

ANAL RECONSTRUCTION WAS DONE ON A MALE PATIENT 50 YRS OLD.HE MET WITH AN ACCIDENT IN CANADA AND GOT BURNT BADLY SO MUCH SO THAT HIS ANAL OPENING ALSO GOT BURNT AND SUBSIQUENTLY GOT SCARRED AND CLOSED.HE UNDERWENT A COLOSTOMY IN CANADA AND WAS TOLD THAT IT IS INOPERABLE AND RECONSTRUCTION CANNOT BE DONE.HE WAS REFFERED HERE TO ME (DR ARINDAM GHOSH).AFTER PROPER EVALUATION ANAL RECONSTRUCTION SURGERY WAS PERFORMED ON HIM WITH AN UNEVENTFUL POST OPERATIVE COURSE.HIS COLOSTOMY WILL BE CLOSE SUBSEQUENTLY IN 6 WK TIME.

Anal reconstruction in a male patient with a scarred anus post burn.

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Endoscopic view showing folleys catheter caught in a stricture.


Endoscopic picture of scared anus


Lone ster retractor being placed over the scared area.


Excision of scarred anus is done.Corrugated cutis ani and a part of subcutaneous sphincter is resected.


Folleys catheter is placed to pulll up the sphincter.


Scarred anus is excised and the baloon is still stuck in the sphincter area.


Once widened up,anal mucosa is nicely seen.www.drarindamghosh.com

Anal mucosa along with the skin is getting stitched.


Formation of a neo anus.6 wks later the temporary colostomy will be closed.


Healthcare

Anal reconstruction