{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T00:33:49Z","timestamp":1793666029436,"version":"4.5.1"},"reference-count":6,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J R Army Med Corps"],"published-print":{"date-parts":[[2006,6]]},"abstract":"\n Objectives<\/jats:title>\n Anal advancement flaps treat a variety of anal disorders. In recent years the \u201cHouse\u201d advancement flap has been used with good success, the term referring to the shape of the flap used. It is simple with few shortcomings. We reviewed a single centre\u2019s experience of this procedure.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n All patients who underwent a house advancement flap between 1996 and 2001 were identified. The case notes were examined and data collected on indication for surgery, complications, follow-up and outcome.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Thirteen consecutive patients were identified, mean age of 44 years. Indications for surgery were chronic anal fissure, fistulous disease and post surgical deformity or stenosis of the anal canal. Median follow-up was 37 months (25-84). In 9 patients the flaps healed within 4 weeks. In the remaining 4 patients the flaps healed by secondary intention over a median of 14 weeks (8-20). Postoperative complications occurred in 5 patients (3 donor site separation and 2 flap retraction). Two patients developed recurrence of their original disorder. Eleven patients have relief of pre-operative symptoms with fully healed flaps.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This procedure is simple, easy to construct and robust. It can be performed for a variety of anal disorders with satisfactory results and few complications and should be in every Coloproctologist\u2019s armamentarium.<\/jats:p>\n <\/jats:sec>","DOI":"10.1136\/jramc-152-02-02","type":"journal-article","created":{"date-parts":[[2013,3,19]],"date-time":"2013-03-19T19:43:32Z","timestamp":1363722212000},"page":"87-88","source":"Crossref","is-referenced-by-count":19,"title":["The House Advancement Anoplasty for Treatment of Anal Disorders."],"prefix":"10.1136","volume":"152","author":[{"given":"Harriet A.","family":"Owen","sequence":"first","affiliation":[{"name":"St. Marks Hospital, Watford Road, Harrow, London HA1 3UJ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David P.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Frimley Park Hospital, Portsmouth Road, Frimley, Surrey GU16 7UJ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kourosh","family":"Khosraviani","sequence":"additional","affiliation":[{"name":"Belfast Institute of Clinical Science Royal Group of Hospitals, Grosvenor Road, Belfast BT12 6BJ"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robin K.S.","family":"Phillips","sequence":"additional","affiliation":[{"name":"St. Marks Hospital, Watford Road, Harrow, London HA1 3UJ"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2006,6,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1136\/jramc-148-03-02","article-title":"The medical and surgical management of chronic anal fissure","volume":"148","author":"Garner, J.P.; McFall, M.; Edwards, D.P.","year":"2002","unstructured":"Garner JP, McFall M, Edwards DP. The medical and surgical management of chronic anal fissure. J R Army Med Corps 2002;148:230-235.","journal-title":"J R Army Med Corps"},{"issue":"12","key":"ref_2","first-page":"277","article-title":"Plastic relief of anal stenosis","volume":"1969","author":"Sarner, J.B.","unstructured":"Sarner JB. Plastic relief of anal stenosis. Dis Colon Rectum 1969;12:277-80.","journal-title":"Dis Colon Rectum"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1007\/BF02554270","article-title":"V-Y advancement for anal ectropion","volume":"29","author":"Rosen, L.","year":"1986","unstructured":"Rosen L. V-Y advancement for anal ectropion. Dis Colon Rectum 1986;29:596-8.","journal-title":"Dis Colon Rectum"},{"key":"ref_4","article-title":"\u201cHouse\u201d advancement pedicle flap for anal stenosis","author":"Christensen, M.A.; Pitsch, Jr., R.M.; Cali, R.L.; Blatchford, G.J.; Thorson, A.G.","year":"1992","unstructured":"Christensen MA, Pitsch RM, Jr., Cali RL, Blatchford GJ, Thorson AG. \u201cHouse\u201d advancement pedicle flap for anal stenosis. Dis Colon Rectum 1992;35:2013.","journal-title":"Dis Colon Rectum"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1002\/bjs.1800830919","article-title":"Operative results of House advancement anoplasty","volume":"83","author":"Sentovich, S.M.; Falk, P.M.; Christensen, M.A.; Thorson, A.G.; Blatchford, G.J.; Pitsch, R.M.","year":"1996","unstructured":"Sentovich SM, Falk PM, Christensen MA, Thorson AG, Blatchford GJ, Pitsch RM. Operative results of House advancement anoplasty. Br J Surg 1996;83:1242-44.","journal-title":"Br J Surg"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"884","DOI":"10.1007\/BF02235371","article-title":"Cutaneous advancement flap closure: alternative method for treatment of complicated anal fistulas","volume":"41","author":"Robertson, W.G.; Mangione, J.S.","year":"1998","unstructured":"Robertson WG, Mangione JS. Cutaneous advancement flap closure: alternative method for treatment of complicated anal fistulas. Dis Colon Rectum 1998;41:884-6.","journal-title":"Dis Colon Rectum"}],"container-title":["Journal of the Royal Army Medical Corps"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jramc-152-02-02","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T20:16:23Z","timestamp":1755116183000},"score":1,"resource":{"primary":{"URL":"https:\/\/militaryhealth.bmj.com\/lookup\/doi\/10.1136\/jramc-152-02-02"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,6]]},"references-count":6,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2006,6,1]]},"published-print":{"date-parts":[[2006,6]]}},"alternative-id":["10.1136\/jramc-152-02-02"],"URL":"https:\/\/doi.org\/10.1136\/jramc-152-02-02","relation":{},"ISSN":["0035-8665","2052-0468"],"issn-type":[{"value":"0035-8665","type":"print"},{"value":"2052-0468","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,6]]}}}