ANAL RECONSTRUCTION WAS DONE ON A MALE PATIENT 50 YRS OLD.HE MET WITH AN ACCIDENT IN CANADA AND GOT BURNT BADLY SO MUCH SO THAT HIS ANAL OPENING ALSO GOT BURNT AND SUBSIQUENTLY GOT SCARRED AND CLOSED.HE UNDERWENT A COLOSTOMY IN CANADA AND WAS TOLD THAT IT IS INOPERABLE AND RECONSTRUCTION CANNOT BE DONE.HE WAS REFFERED HERE TO ME (DR ARINDAM GHOSH).AFTER PROPER EVALUATION ANAL RECONSTRUCTION SURGERY WAS PERFORMED ON HIM WITH AN UNEVENTFUL POST OPERATIVE COURSE.HIS COLOSTOMY WILL BE CLOSE SUBSEQUENTLY IN 6 WK TIME.

1. ANAL RECONSTRUCTION
Dr Arindam Ghosh
MS, M Ch (Gastroenterology Surgery)
Senior Consultant
Dr Harpal Singh
MS, DNB (Surgical Gastroenterology)
Associate Consultant
Deptt of Surgical Gastroenterology, HPB & GI oncology,
Advanced Laparoscopic Digestive & Metabolic surgery,
Satguru Partap Singh Hospitals, Ludhiana

2.  ANAL RECONSTRUCTION WAS DONE ON A MALE
PATIENT 50 YRS OLD.HE MET WITH AN ACCIDENT IN
CANADA AND GOT BURNT BADLY SO MUCH SO THAT HIS
ANAL OPENING ALSO GOT BURNT AND SUBSIQUENTLY
GOT SCARRED AND CLOSED.HE UNDERWENT A
COLOSTOMY IN CANADA AND WAS TOLD THAT IT IS
INOPERABLE AND RECONSTRUCTION CANNOT BE
DONE.HE WAS REFFERED HERE TO ME (DR ARINDAM
GHOSH).AFTER PROPER EVALUATION ANAL
RECONSTRUCTION SURGERY WAS PERFORMED ON
HIM WITH AN UNEVENTFUL POST OPERATIVE
COURSE.HIS COLOSTOMY WILL BE CLOSE
SUBSEQUENTLY IN 6 WK TIME.

3. Anal reconstruction in a male patient with a scarred anus
post burn.
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4. Endoscopic view showing folleys catheter caught in a stricture.
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5. Endoscopic picture of scared anus
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6. Lone ster retractor being placed over the scared area.
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7. Excision of scarred anus is done.Corrugated cutis ani and a part of
subcutaneous sphincter is resected.
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8. Folleys catheter is placed to pulll up the sphincter.
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9. Scarred anus is excised and the baloon is still stuck in the
sphincter area.
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10. Once widened up,anal mucosa is nicely seen.
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11. Anal mucosa along with the skin is getting stitched.
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12. Formation of a neo anus.6 wks later the temporary
colostomy will be closed.
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