Document Detail

Five year results of fissurectomy for chronic anal fissure : low recurrence rate and minimal effect on continence.
MedLine Citation:
PMID:  21955514     Owner:  NLM     Status:  Publisher    
Aim:  The aim of the study was to determine the long-term outcome, recurrence rate and faecal incontinence score after fissurectomy for chronic anal fissure (CAF) not responding to conservative treatment. Method:  53 consecutive patients (29 women) who underwent fissurectomy for a medically resistant CAF between 1998 and 2005 were included in the study. At a minimum follow up of five years a standardized questionnaire was sent to all patients, assessing recurrence, satisfaction with the operation (0-10) and faecal continence (Vaizey score: 0-24). The patients were compared with a control group of 50 healthy volunteers, matched for sex and age, who had never undergone anal surgery. Results:  43 (81%) patients (25 female) returned the questionnaire. The mean age was 40 years (sd 12.1) and median follow up was 8.2 (5.5-12.2) years. Five patients had a recurrent CAF (11.6%). 90% of patients would have consented to the operation again if necessary. The mean Vaizey score at follow up was 2.5 (+/-4.2 SD). The mean Vaizey score of the four patients who had had a previous lateral sphincterotomy was 3.8 and for the 8 patients who had reported a continence disturbance before fissurectomy it was 8.3. The mean Vaizey score of the 31 patients who were continent before fissurectomy was 0.8 compared with 0 .4 in the control group (p=.9). Conclusion:  At five years or more fissurectomy for medically resistant CAF is effective with a low recurrence rate and minimal influence on continence.
I L Schornagel; M Witvliet; A F Engel
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-9-28
Journal Detail:
Title:  Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland     Volume:  -     ISSN:  1463-1318     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-9-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883611     Medline TA:  Colorectal Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2011 The Authors Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland.
Department of Colorectal Surgery Zaans Medical Centre, Zaandam, The Netherlands.
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