| A comparison between the results of fissurectomy and lateral internal sphincterotomy in the surgical management of chronic anal fissure. | |
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MedLine Citation:
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PMID: 19415396 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: We compare lateral internal sphincterotomy as an effective treatment of chronic fissure in ano to fissurectomy, which is as an alternative surgical treatment. METHODS: Sixty two consecutive patients were divided into two groups through sequential sampling. Thirty patients underwent fissurectomy and 32 underwent lateral internal sphincterotomy. After a median follow-up of 22 months, we compared the results of the two procedures. In addition to frequent visits on a predetermined basis, a telephone inquiry into fissure recurrence and continence status was made. RESULTS: All patients in both groups were pain-free and without bleeding within 1 week. In both groups, urinary retention was noted in one patient. Incontinence to flatus was noted in the fissurectomy (F) group in two (6.2%) patients, but no incontinence was noted in the lateral internal sphincterotomy (LIS) group. There was one patient (3.1%) with fissure recurrence in the F group but none in the LIS group. No patient in either group was afflicted with anal stenosis or perianal infections. All wounds healed within 8 weeks. Twenty nine patients (96.6%) in the LIS group and 28 (87.5%) in the F group reported satisfactory results with their procedure. CONCLUSION: In the surgical treatment of chronic anal fissure not responding to conservative management, LIS may be the better treatment and, perhaps, the preferable surgical technique with fewer total complications (P < 0.005). |
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Authors:
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S R Mousavi; M Sharifi; Zohreh Mehdikhah |
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Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial Date: 2009-05-05 |
Journal Detail:
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Title: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract Volume: 13 ISSN: 1873-4626 ISO Abbreviation: J. Gastrointest. Surg. Publication Date: 2009 Jul |
Date Detail:
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Created Date: 2009-06-09 Completed Date: 2009-09-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9706084 Medline TA: J Gastrointest Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1279-82 Citation Subset: IM |
Affiliation:
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Shohada Hospital, Shahid Beheshti University of Medical Sciences and Health Services, Tajrish square, Tehran, Iran. seyed29@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Anal Canal / surgery* Chi-Square Distribution Chronic Disease Digestive System Surgical Procedures / methods* Fecal Incontinence / prevention & control Female Fissure in Ano / diagnosis, surgery* Follow-Up Studies Humans Male Middle Aged Patient Satisfaction Postoperative Complications / physiopathology Probability Quality of Life* Recurrence Risk Assessment Severity of Illness Index Surgical Procedures, Minimally Invasive / methods Treatment Outcome Wound Healing / physiology Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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