Trujillo Franco, G.A., Rodríguez Enríquez, J.D. , Domínguez, R.L. , Lázaro, R.R., Girón Argüelles, G.A., Vicente Solórzano, J.A. , López Gallo, H. and Ochoa García, J.P. 2026. Reconstructive Proctology: A Narrative Review of Flap-Based Anoplasty for Aesthetic and Functional Optimization in Grade Iv Hemorrhoidal Disease. International Journal of Medical Science and Clinical Research Studies . 6, 04 (Apr. 2026), 717–721. DOI:https://doi.org/10.47191/ijmscrs/v6-i4-18.