V-Y Advancement for Anal Ectropion.

A V-Y advancement flap modified for anorectal use in reconstructive surgery for anal ectropion is described. The underlying external sphincter serves a dual function as the pivotal point for flap advancement and as the vascular pedicle to the dermal-subdermal plexus supplying the flap. This ensures viability and restores function to the newly created anus

Anorectal Abscess-Fistulae.

Anal abscess-fistulae have a tendency to recur based on variations in anatomic configuration and complexities of operative treatment and problematic postoperative healing. A classification of superficial, simple, complex, and recurrent fistulae was used to track outcome. Recurrence rates are substantially higher for those fistulae classified as complex. The reasons for this are discussed in this article

Practice Parameters for Sigmoid Diverticulitis-Supporting Documentation.

It should be recognized that these guidelines should not be deemed inclusive of all proper methods of care or exclusive of methods of care reasonably directed to obtaining the same results. The ultimate judgment regarding the propriety of any specific procedure must be made by the physician in light of all of the circumstances presented by the individual patien

Physical Examination of the Anorectum: a Systematic Technique.

Advances in medical technology have enabled the colorectal specialist to use sophisticated methodology and precision instrumentation for diagnosing disease. However, one must not overlook the value of the thorough, systematically approached anorectal examination for initially identifying abnormalities