| Long term continence disturbance after lateral internal sphincterotomy for chronic anal fissure : A systematic review and meta-analysis. | |
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MedLine Citation:
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PMID: 23320551 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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AIM: A systematic review was carried out to analyze continence at two years or more after lateral internal sphincterotomy (LIS) for chronic anal fissure (CAF). METHOD: Pubmed, Medline, Scopus, Embase SCI database, Cochrane, Google Scholar were used to search the literature from 1969-2012 for studies reporting a follow up of more than two years after LIS for CAF. The primary outcome parameter analyzed was continence. The secondary outcome parameters included success rate, recurrence, incidence of postoperative abscess & fistula formation and the patient satisfaction. RESULTS: Of 324 studies screened, 22 (n=4512) were included. The mean follow-up period ranged from 24-124 months. The overall continence disturbance rate was 14% (95% CI-0.09-0.2). Weighted analysis showed flatus incontinence in 9% (95% CI-0.04-0.16), soilage/seepage in 6% (95% CI-0.03-0.1), accidental defaecation in 0.91% (95% CI-0.003-0.02), incontinence to liquid stool in 0.67% (95% CI-0.001-0.02) and incontinence to solid stool in 0.83% (95% CI-0.003-0.02) of patients. CONCLUSION: The long term risk of continence disturbance after lateral internal sphincterotomy is significant. Randomized controlled trials with a long follow-up are needed to substantiate these findings and to redefine the role in the treatment of chronic anal fissure. © 2013 The Authors. Colorectal Disease © 2013 The Association of Coloproctology of Great Britain and Ireland. |
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Authors:
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Pankaj Garg; Mahak Garg; Geetha R Menon |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2013-1-15 |
Journal Detail:
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Title: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland Volume: - ISSN: 1463-1318 ISO Abbreviation: Colorectal Dis Publication Date: 2013 Jan |
Date Detail:
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Created Date: 2013-1-16 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100883611 Medline TA: Colorectal Dis Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2013 The Authors. Colorectal Disease © 2013 The Association of Coloproctology of Great Britain and Ireland. |
Affiliation:
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Fortis Super Specialty Hospital, Mohali, Punjab, India; MM Institute of Medical Sciences & Research, Mullana, Haryana, India. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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