Document Detail

Sphincterolysis: a novel approach towards chronic anal fissure.
MedLine Citation:
PMID:  16699286     Owner:  NLM     Status:  MEDLINE    
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.
Pravin J Gupta
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Publication Detail:
Type:  Clinical Trial; Journal Article     Date:  2006-05-11
Journal Detail:
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:
Created Date:  2006-06-09     Completed Date:  2006-07-31     Revised Date:  2006-11-30    
Medline Journal Info:
Nlm Unique ID:  0174752     Medline TA:  Eur Surg Res     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  122-6     Citation Subset:  IM    
Gupta Nursing Home, Laxminagar, Nagpur, India.
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MeSH Terms
Anal Canal / surgery
Chronic Disease
Dilatation / methods*
Fecal Incontinence / surgery
Fissure in Ano / surgery*
Follow-Up Studies
Postoperative Complications
Surgical Procedures, Operative*

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