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A mass of tissue for grafting , usually including skin, only partially removed from one part of the body so that it retains its own blood supply during transfer to another site. Axial pattern flap a myocutaneous flap containing an artery in its long. As a functioning pedicled flap, the gracilis muscle can be transferred for the treatment of anal incontinence. This technique called graciloplasty was described in the 1950s by pickrell and was revolutionized in the late 1980s by the introduction of chronic muscle electro-stimulation. Diamond flap anoplasty in infants and children with an intractable anal stricture. Author information (1)childrens hospital, los angeles, ca 90054-0700. After posterior sagittal anorectoplasty for imperforate anus a prolonged course of anal dilatations is necessary until the scar softens. An anal fistula (also commonly called fistula-in-ano) is frequently the result of a previous or current anal abscess. The fistula is the tunnel that forms under the skin and connects the clogged infected glands to an abscess. The disadvantage of this flap if the ischial ulcer does extend superiorly in the gluteal areas in this situation, technically, it is difficult to advance the flap over longer distances. Another drawback is that the proximal part of the flap, which is a few centimeters in length, is fasciocutaneous, which is not ideal for covering a deep defect.