Repair of simple XXXX . Influence of previous repairs.

@entity1 @entity3622 @entity281 @entity292 @entity365 @entity130
The results of 81 endorectal flap advancements for simple @entity3622 are reported. @entity292 are defined as less than 2.5 cm in diameter, low or mid @entity365 in location, and infectious or traumatic in origin. Essentially, the technique is advancement of a flap of mucosa, submucosa, and circular muscle over midline approximation of internal sphincter muscle. The mean @entity1 age was 34 years old (range, 18 to 76 years). The causes were @entity130 (74 percent), @entity281 (10 percent), operative @entity130 (7 percent), and unknown (8 percent). Overall, the repair was successful in 83 percent of @entity1 . Success correlated with the number of previous repairs, i.e., none: 88 percent success; one: 85 percent success; two: 55 percent success. There were 25 concomitant overlapping sphincteroplasty procedures. Only minor complications ensued, with no mortality. This repair is recommended for @entity1 with no or one previous repair because of its lack of mortality, minimal morbidity, ease of concomitant sphincteroplasty, and avoidance of a colostomy. For @entity1 with two or more earlier repairs, a muscle interposition should be considered.
