| Fissurectomy and anal advancement flap for anterior chronic anal fissure without hypertonia of the internal anal sphincter in females. | |
| | |
MedLine Citation:
|
PMID: 19843117 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
AIM: Lateral internal sphincterotomy is considered the surgical treatment of choice for chronic anal fissure after failure of medical therapy but it risks continence. The aim of the study was to evaluate fissurectomy with advancement flap for anterior chronic anal fissure (CAAF) resistant to medical therapy. METHOD: Sixteen women with CAAF without hypertonia of the internal anal sphincter, unresponsive to previous medical treatment, were included in the study. Absence of hypertonia was defined as a maximum anal resting pressure (MRP) of less than 85 mmHg. All patients underwent fissurectomy with an advancement skin flap. RESULTS: Complete healing occurred in all patients within 30 days. The intensity and the duration of pain after defecation reduced from the first postoperative defecation. MRP before surgery and at 6 months showed no significant difference. At 1 month, four patients experienced a continence disturbance, two of whom had it preoperatively. At 12 months, two (12.5%) patients continued to experience a continence disturbance. CONCLUSION: Fissurectomy with skin advancement flap resulted in complete healing and full relief of symptoms in all patients. There was a low incidence of continence disturbance. |
| | |
Authors:
|
R Patti; F Famà; T Barrera; G Migliore; G Di Vita |
Related Documents
:
|
15549257 - Functional outcomes of primary and secondary repairs of vesicovaginal fistulae via vagi... 6389047 - Overlapping sphincteroplasty for acquired anal incontinence. 11786767 - Hemorrhoidectomy: open or closed technique? a prospective, randomized clinical trial. 7749287 - Seton treatment for perianal crohn's fistulas. 17114147 - 15-year prospective follow-up study of behavioral therapy in a large sample of inpatien... 19443377 - Management of cardiac adverse events occurring with sunitinib treatment. |
Publication Detail:
|
Type: Clinical Trial; Journal Article |
Journal Detail:
|
Title: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland Volume: 12 ISSN: 1463-1318 ISO Abbreviation: Colorectal Dis Publication Date: 2010 Nov |
Date Detail:
|
Created Date: 2010-10-14 Completed Date: 2011-01-24 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100883611 Medline TA: Colorectal Dis Country: England |
Other Details:
|
Languages: eng Pagination: 1127-30 Citation Subset: IM |
Copyright Information:
|
© 2010 The Authors. Colorectal Disease © 2010 The Association of Coloproctology of Great Britain and Ireland. |
Affiliation:
|
Division of General Surgery, Department of Surgical and Oncological Science, University of Palermo, Palermo, Italy. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Anal Canal / physiopathology Chronic Disease Digestive System Surgical Procedures / methods* Female Fissure in Ano / surgery* Humans Middle Aged Muscle Hypertonia / physiopathology Prospective Studies Surgical Flaps* Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Downstaging of Colorectal Cancer by the National Bowel Cancer Screening Programme in England: First ...
Next Document: Treatment of slow-transit constipation with sacral nerve modulation.