Lateral sphincterotomy compared with anal advancement flap for chronic anal fissure

1995 ◽  
Vol 38 (1) ◽  
pp. 69-71 ◽  
Author(s):  
A. F. P. K. Leong ◽  
F. Seow-Choen
Keyword(s):  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
Advancement Flap ◽  
Lateral Sphincterotomy

Simple Cutaneous Advancement Flap Anoplasty for Resistant Chronic Anal Fissure: A Prospective Study

2009 ◽  
Vol 33 (5) ◽  
pp. 1058-1063 ◽  
Author(s):  
Pasquale Giordano ◽  
Gianpiero Gravante ◽  
Pietro Grondona ◽  
Boris Ruggiero ◽  
Theresa Porrett ◽  
...  
Keyword(s):  
Prospective Study ◽  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
Advancement Flap ◽  
A Prospective Study

scholarly journals The Chronic Anal Fissure Treatment by Internal Partial Lateral Sphincterotomy and Following Anal Manometry

1997 ◽  
Vol 40 (1) ◽  
pp. 13-15
Author(s):  
Dušan Šimkovič ◽  
Milan Široký ◽  
Karel Šmejkal
Keyword(s):  
Anal Fissure ◽  
Anorectal Manometry ◽  
Anal Manometry ◽  
Chronic Anal Fissure ◽  
Lateral Sphincterotomy ◽  
Internal Sphincterotomy ◽  
The People ◽  
Pathologic Findings ◽  
Long Time ◽  
Careful History

Anal fissure remains one of the most common proctologic problems. A number of reports have advocated the use of partial internal sphincterotomy as a treatment of chronic anal fissure. Our study shows the results of a retrospective analysis of our patients who underwent lateral internal sphincterotomy for the treatment of chronic anal fissure. To determine long time results we examined random sample of 75 operated patients. Apart from taking careful history and patientÕs assessment of the operation effect, the patients were investigated ãper rectumÒ, and even possibly rectoscopically. To asscertain suitability and also security of properly done internal sphincterotomy, we performed anorectal manometric examinations in 53 patients controlled. To conclude our results, we can state that in 9 (12%) patients controlled some subjective complaints or certain pathologic findings connected with anal fissure or sphincterotomy were found. None of the people from the set of ours suffered from any complaints, which can be taken as stool incontinency. In no patients any change in pressure measured by anorectal manometry indicating incontinency was proved.

scholarly journals Comparative Study of Lateral Sphincterotomy versus Local 2 % Diltiazem Ointment for the Treatment of Chronic Anal Fissure

2014 ◽  
Vol 13 (6) ◽  
pp. 36-40
Author(s):  
Dr Shib Shankar Kuiri ◽  
◽  
Dr. Ashis Kumar Saha ◽  
Dr Goutam Ghosh ◽  
Dr Nilay Mandal ◽  
...  
Keyword(s):  
Comparative Study ◽  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
Lateral Sphincterotomy

Glyceryl trinitrate vs. lateral sphincterotomy for chronic anal fissure

2001 ◽  
Vol 44 (1) ◽  
pp. 93-97 ◽  
Author(s):  
Justin Evans ◽  
Andrew Luck ◽  
Peter Hewett
Keyword(s):  
Glyceryl Trinitrate ◽  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
Lateral Sphincterotomy

scholarly journals Advancement flap in the management of chronic anal fissure: a prospective study

2012 ◽  
Vol 64 (2) ◽  
pp. 101-106 ◽  
Author(s):  
Rosalia Patti ◽  
Giovanni Guercio ◽  
Valentina Territo ◽  
Paolo Aiello ◽  
Giuseppe Livio Angelo ◽  
...  
Keyword(s):  
Prospective Study ◽  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
Advancement Flap ◽  
A Prospective Study

scholarly journals Anal advancement flap versus lateral internal sphincterotomy for chronic anal fissure- a systematic review and meta-analysis

2018 ◽  
Vol 49 ◽  
pp. 16-21 ◽  
Author(s):  
Shaheel Mohammad Sahebally ◽  
Stewart Redmond Walsh ◽  
Waqas Mahmood ◽  
Thomas Michael Aherne ◽  
Myles Richard Joyce
Keyword(s):  
Systematic Review ◽  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
Meta Analysis ◽  
Advancement Flap ◽  
Lateral Internal Sphincterotomy ◽  
Internal Sphincterotomy

scholarly journals Anocutaneous advancement flap provides a quicker cure than fissurectomy in surgical treatment for chronic anal fissure—a retrospective, observational study

2021 ◽  
Author(s):  
Edgar Hancke ◽  
Katrin Suchan ◽  
Knut Voelke
Keyword(s):  
Wound Healing ◽  
Surgical Treatment ◽  
Observational Study ◽  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
Advancement Flap ◽  
Late Complications ◽  
Retrospective Observational Study ◽  
Frankfurt Am Main ◽  
Anal Fissures

Abstract Purpose Anocutaneous advancement flap is a surgical procedure for the treatment of chronic anal fissures. This study aimed to assess the results of anocutaneous advancement flap in a consecutive cohort of patients. Methods This is a retrospective, observational study. From 2000 to 2011, 481 patients had been operated for a single chronic anal fissure at the Maingau Clinic of the German Red Cross in Frankfurt am Main. The intention was to excise the fissure by fissurectomy (FIS) and then to cover the wound primarily with an anocutaneous advancement flap (AAF). The primary outcomes were resolution of symptoms and healing rates 1 month postoperatively. Secondary outcomes included incidences of early and late complications, postoperative incontinence, and recurrent fissure. Results Anocutaneous advancement flap was performed in 455 (94.6%). In 26 (5.4%) patients, AAF failed due to lacking skin and the wound left open after FIS. One month postoperatively, half of the patients with AAF were free of symptoms (53.2%) with complete wound healing (47.9%). The incidence of early complications within 1 month postoperatively was 0.9% after AAF. From 1 month to 5 years after operation anal abscesses and fistula occurred in 2.9%. Mild symptoms of anal incontinence were recorded in 0.2% and recurrent chronic anal fissure in 3.3% of patients. Subgroup analysis revealed improved wound healing 1 month postoperatively in patients with AAF compared to FIS. Conclusion Anocutaneous advancement flap is a very safe sphincter-sparing surgical option for CAF, provides a quicker cure than fissurectomy, and may be considered a good first-line surgical treatment option for chronic anal fissures if medical treatment failed.

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