Rectal plastic surgery

Rectal stricture most often develops after surgery.
After tumour removal, but unfortunately sometimes also after surgery for benign lesions (haemorrhoids, rectal fistula).
It can also develop after irradiation.
Bowel movements are very difficult, often only liquid stools can be passed.
For severe strictures, gentle finger dilation may help, but instrumental, coarse dilation is not recommended because local trauma, fissures and haemorrhages can aggravate the stricture.
Partial transection of the internal sphincter may be attempted as the simplest procedure, provided the stricture is not caused by scarred skin and scar tissue.
Severe stricture can only be corrected by rectoplasty.
There are several forms of this, depending on the shape of the skin around the rectum that is inserted to increase the diameter of the entrance.
In the surgery, we use the so-called.
We use the house-shaped plasty, but also the Y-V plasty or rhombus-shaped plasty.
This means that the narrow rectal opening is incised in a radial direction in one place, and a piece of skin around the rectum, which has been pre-drawn, is pulled into the incision site by mobilising it, and here it is fixed to the mucous membrane of the rectum with absorbable stitches.
Care must be taken to ensure that the inserted piece of skin is not stretched and that the blood supply remains intact.
The displaced skin defect is closed with stitches.
This will increase the diameter of the rectum by 1-2 cm, which is sufficient for normal defecation.
Successful plastic surgery leads to a huge improvement in the patient’s quality of life.