{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T22:00:33Z","timestamp":1773180033616,"version":"3.50.1"},"reference-count":23,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2008,8,5]],"date-time":"2008-08-05T00:00:00Z","timestamp":1217894400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2008,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>A retrospective review of 28 patients who had \u201chouse flap\u201d anoplasty was carried out to evaluate the therapeutic effectiveness of the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>House flap anoplasty was performed at Istanbul University Cerrahpasa Medical School, General Surgery Department, in 28 patients over 4 years. Indications were chronic anal fissure, anal stenosis, high transsphincteric fistula, low rectovaginal fistula, anal neoplasia, and obstetric third\u2010degree perineal tear and incontinence. After rectangular excision of the anal or perianal lesion, the \u201cwalls\u201d and \u201croof\u201d of the house flap were incised to the depth of ischiorectal fat. The \u201cbase\u201d of this house\u2010shaped flap was then fixed to the top of the excised area.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Median postoperative hospital stay was 4.86 (range = 2\u201312) days. Postoperative complications included three patients with minimal wound dehiscence and one with rectovaginal fistula recurrence. At a median follow\u2010up of 26.4 (range = 1\u201346) months, excluding the patient with recurrence, all patients were satisfied with house flap anoplasty.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>House advancement flap anoplasty is a relatively simple procedure, combining the beneficial features of rectangular flaps and V\u2010Y plasties. It can be used in nearly all types of anoderm deficiencies with a high rate of success and patient satisfaction.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-008-9699-1","type":"journal-article","created":{"date-parts":[[2008,8,4]],"date-time":"2008-08-04T18:00:11Z","timestamp":1217872811000},"page":"2281-2286","source":"Crossref","is-referenced-by-count":33,"title":["Use of \u201cHouse\u201d Advancement Flap in Anorectal Diseases"],"prefix":"10.1002","volume":"32","author":[{"given":"Olcay","family":"Alver","sequence":"first","affiliation":[{"name":"General Surgery Department, Cerrahpasa Medical School Istanbul University Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yeliz Emine","family":"Ersoy","sequence":"additional","affiliation":[{"name":"II General Surgery Clinic Vakif Gureba Research and Training Hospital Istanbul Turkey"},{"name":"Estonsehir 1. 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