Document Detail


Island advancement flaps in the management of anal fissures.
MedLine Citation:
PMID:  7795999     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The classic high-pressure fissure responds well to lateral internal sphincterotomy. The management of recurrent fissures and those that occur in patients with weak sphincters is open to debate. An island advancement flap technique used in 21 patients is described with the above criteria. Preoperative median resting anal pressure was 66 (range 43-90) cmH2O and median maximal squeeze pressure was 132 (range 76-193) cmH2O, values that were significantly lower than in controls and those with classic fissure. Endoanal ultrasonography in 15 of these patients showed defects in the anal sphincters. All flaps healed primarily with preservation of sensation. Perfect continence was maintained in all patients. Follow-up was for a median of 18 (range 2-28) months. There were no serious complications. All fissures healed with minimal postoperative discomfort. This procedure provides a useful alternative for symptomatic anal fissures, in which a sphincter-weakening procedure might jeopardize continence.
Authors:
D C Nyam; R G Wilson; K J Stewart; R Farouk; D C Bartolo
Related Documents :
17175769 - The house advancement anoplasty for treatment of anal disorders.
2737059 - Anal manometry improves the outcome of surgery for fistula-in-ano.
2802909 - Treatment of anal fissure: a comparison of three different forms of therapy.
12600449 - Colonic metaplasia in the ileal pouch is associated with inflammation and is not the re...
14530679 - Randomized, clinical trial of ligasure vs conventional diathermy in hemorrhoidectomy.
3977439 - Motility of the small intestine after proctocolectomy and ileal pouch-anal anastomosis.
23237759 - Low-dose acetyl salicylic acid versus oral anticoagulation after bioprosthetic aortic v...
23074629 - Evaluation and comparison of using low-dose aprotinin and tranexamic acid in cabg: a do...
16943899 - Complications and mortality of single versus dual chamber implantable cardioverter defi...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of surgery     Volume:  82     ISSN:  0007-1323     ISO Abbreviation:  Br J Surg     Publication Date:  1995 Mar 
Date Detail:
Created Date:  1995-07-31     Completed Date:  1995-07-31     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  326-8     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Royal Infirmary of Edinburgh, UK.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Fissure in Ano / physiopathology,  surgery*
Follow-Up Studies
Humans
Male
Middle Aged
Pressure
Surgical Flaps / methods*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Risk factors in patients presenting as an emergency with colorectal cancer.
Next Document:  Presentation of comparative audit data.