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July 1972

Advancement Flaps for Treatment of Anal Stricture

Arch Surg. 1972;105(1):128. doi:10.1001/archsurg.1972.04180070126030

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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

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