Document Detail

Medium-term results of anal advancement flap compared with lateral sphincterotomy for the treatment of anal fissure.
MedLine Citation:
PMID:  21562745     Owner:  NLM     Status:  Publisher    
INTRODUCTION: Anal fissure is associated with anal pain and bleeding. Lateral internal sphincterotomy (LIS) has been a common form of surgical management. This can however cause incontinence and hence an equally effective alternative without this risk would be ideal. Anal fissurectomy and an anal advancement flap (AAF) have been used as an alternative to LIS. METHODS: We carried out a retrospective analysis of the results of AAF and LIS for the treatment of anal fissure. Fifty patients underwent AAF and a further 50 cases were chosen who had undergone LIS over the same time period. Patient and procedural data were collected including post-operative course. RESULTS: Presenting symptoms included anal pain (94%), rectal bleeding (77%) and constipation (15%). Mean (±SD) follow-up was 20 ± 12 months in the AAF group vs 22 ± 12.5 months in the LIS group. Healing of fissure was achieved in 96% of patients after AAF and 88% after LIS (p = 0.27). Resolution of symptoms was achieved in 90% after AAF and 72% of patients after LIS (p = 0.04). LIS was associated with an increased incidence of readmission with infection and pain (8% vs 4%, p = 0.35). Seven patients whom had undergone successful AAF with complete resolution of symptoms had previously had LIS with failure of symptom relief. There was no incidence of faecal incontinence in either group. CONCLUSION: AAF is associated with a higher incidence of symptomatic relief and fissure healing and lower incidence of complications when compared with LIS. AAF is effective at healing fissures which are refractory to LIS.
Sanjay D Patel; Tom Oxenham; Bhandhipalyan V Praveen
Related Documents :
25238625 - Pediatric endoscopic third ventriculostomy: a population-based study.
21959405 - Nasometric and aerodynamic outcome analysis of pharyngeal flap surgery for the manageme...
16874215 - A prospective outcomes study of four-corner wrist arthrodesis using a circular limited ...
22235705 - Coronary artery bypass grafting (cabg) in patients with immune thrombocytopenia (itp): ...
22578685 - Carbon dioxide insufflation in open-chamber cardiac surgery: a double-blind, randomized...
24641745 - Outcome of pyrocarbon proximal interphalengeal joint replacement.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-5-12
Journal Detail:
Title:  International journal of colorectal disease     Volume:  -     ISSN:  1432-1262     ISO Abbreviation:  -     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-5-12     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8607899     Medline TA:  Int J Colorectal Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Southend General Hospital, Prittlewell Chase, Westcliff-on-Sea, SS0 0RY, Essex, UK,
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Overall survival after resection for colon cancer in a national cohort study was adversely affected ...
Next Document:  Oral Zinc Sulphate Supplementation for Six Months in SCA2 Patients: A Randomized, Double-Blind, Plac...