{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:44:01Z","timestamp":1777448641512,"version":"3.51.4"},"reference-count":3,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T00:00:00Z","timestamp":1694044800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>Giant condyloma acuminata (GCA), or Buschke-L\u00f6wenstein tumor, is a rare exophytic cauliflower-like growth in the anogenital region. The spectrum of treatment options is wide, ranging from the application of topical ointments to the performance of an abdominoperineal resection. Currently, wide local excision is the most common approach and may entail the creation of a protective loop ileostomy or implementation of flaps or grafts that facilitate closure. We describe a unique surgical approach for the management of circumferential GCA void of the use a protective loop ileostomy, flaps, or grafts. Our report highlights that the implementation of a radical, circumferential, wide excision resulting in \u201cfree-floating anus\u201d and healing via secondary intention can ultimately lead to excellent functional and cosmetic results and therefore may be considered a minimally invasive surgical option for patients afflicted with a large, circumferential GCA.<\/jats:p>","DOI":"10.1177\/00031348231199173","type":"journal-article","created":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T03:06:18Z","timestamp":1694055978000},"page":"6389-6392","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cFree-Floating Anus\u201d: A Flap-Free Approach for Definitive Excision of Circumferential Giant Condyloma Acuminata"],"prefix":"10.1177","volume":"89","author":[{"given":"William Y.","family":"Luo","sequence":"first","affiliation":[{"name":"Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Van","family":"Hoang","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9439-6530","authenticated-orcid":false,"given":"Dimitrios N.","family":"Varvoglis","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lydia H.","family":"Comer","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 G.","family":"Guillem","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,9,7]]},"reference":[{"issue":"5","key":"bibr1-00031348231199173","first-page":"411","volume":"26","author":"Qian G","year":"2013","journal-title":"Dermatol Ther"},{"issue":"3","key":"bibr2-00031348231199173","first-page":"333","volume":"53","author":"Altinay-Kirli E","year":"2011","journal-title":"Turk J Pediatr"},{"key":"bibr3-00031348231199173","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000339"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231199173","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348231199173","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348231199173","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:38:29Z","timestamp":1777379909000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348231199173"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,7]]},"references-count":3,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1177\/00031348231199173"],"URL":"https:\/\/doi.org\/10.1177\/00031348231199173","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,7]]}}}