| Sphincterolysis: a novel approach towards chronic anal fissure. | |
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MedLine Citation:
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PMID: 16699286 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND AIMS: The surgical approach in chronic anal fissure is often found associated with disturbed anal continence as well as recurrence. This report describes the author's approach of 'sphincterolysis' or fragmentation of the fibers of the internal sphincter on the left lateral anal wall. PATIENTS AND METHODS: 132 patients with chronic anal fissures were treated with this technique. Pre- and postoperative anal manometry was recorded. The postoperative course and early and 1-year follow-up results were recorded. RESULTS: Early complications included ecchymosis, hematoma, and pain. Fissure healing and relief of symptoms observed in 97% of patients. A transient, variable degree of incontinence occurred in 23 patients and persistent incontinence to flatus and soiling in 5. CONCLUSION: Internal anal sphincterolysis is a safe, effective procedure for the treatment of chronic anal fissure. |
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Authors:
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Pravin J Gupta |
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Publication Detail:
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Type: Clinical Trial; Journal Article Date: 2006-05-11 |
Journal Detail:
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Title: European surgical research. Europäische chirurgische Forschung. Recherches chirurgicales européennes Volume: 38 ISSN: 0014-312X ISO Abbreviation: Eur Surg Res Publication Date: 2006 |
Date Detail:
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Created Date: 2006-06-09 Completed Date: 2006-07-31 Revised Date: 2006-11-30 |
Medline Journal Info:
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Nlm Unique ID: 0174752 Medline TA: Eur Surg Res Country: Switzerland |
Other Details:
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Languages: eng Pagination: 122-6 Citation Subset: IM |
Affiliation:
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Gupta Nursing Home, Laxminagar, Nagpur, India. drpjg_ngp@sancharnet.in |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Anal Canal / surgery Chronic Disease Dilatation / methods* Fecal Incontinence / surgery Female Fissure in Ano / surgery* Follow-Up Studies Humans Male Manometry Postoperative Complications Surgical Procedures, Operative* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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