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To the Editor.
—Referring to the paper in the Archives by Nickell and Woodward, "Advancement Flaps for Treatment of Anal Stricture" (104: 223, 1972), I was surprised to read the statement, "The mucosal advancement described by Turell9 has at least the theoretical disadvantage of causing perineal soiling and dampness."In 1950 (Surg Gynec Obstet 9:231, 1950) I reported on my experience with 36 cases using the technique alluded to above. This paper is as valid today as it was 22 years ago. I can conservatively estimate an experience of well over 100 patients during the past 25 years. I can assure them that their theory or guess is all wrong as based on the above experience. Even allowing for imperfect followup observations, I would have encountered at least one instance of "soiling or dampness."I also would like to call your attention to an error in their reference to
Turell R. Advancement Flaps for Treatment of Anal Stricture. Arch Surg. 1972;105(1):128. doi:10.1001/archsurg.1972.04180070126030