A man in his 30s presented with a history of 18 years of crohns disease confined to his colon and rectum with a watering can anus. He was unresponsive to medical treatment and continued to smoke
A vertical rectus abdominis flap was raised based on inferior epigastic vessels (forceps pointing to these)
The patient went home 9 days after the operation with all healed
The colon was fully mobilized and extensive excision of peranal skin affected by multiple fistulae performed. The colon, rectum and anus were removed from the perineum.
This left a big defect!
A vertical rectus abdominis flap was raised based on inferior epigastic vessels (forceps pointing to these)
The flap was rotated around and placed in perineum to fill the defect.
The patient went home 9 days after the operation with all healed
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the picture with the description;
ReplyDelete''This left a big defect!''
what area of the is that?
about 10cm in diameter
ReplyDeleteDo not play with your anus with pingers.
ReplyDeleteOr your anus will become like this ass hole.