Early results of a rotational flap to treat chronic anal fissures

2004 ◽  
Vol 20 (4) ◽  
pp. 339-342 ◽  
Author(s):  
Meheshinder Singh ◽  
Abhiram Sharma ◽  
Angela Gardiner ◽  
Graeme S. Duthie
Keyword(s):  
Anal Fissures ◽  
Early Results ◽  
Rotational Flap

scholarly journals Early Results of a Rotation Flap to Treat Chronic Anal Fissures

2005 ◽  
Vol 28 (3) ◽  
pp. 189-191 ◽  
Author(s):  
Meheshinder Singh ◽  
Abhiram Sharma ◽  
Graeme Duthie ◽  
Davaraj Balasingh ◽  
P. Kandasamy
Keyword(s):  
Rotation Flap ◽  
Anal Fissures ◽  
Early Results

scholarly journals Early Results of Fissurectomy and Advancement Flap for Resistant Chronic Anal Fissure without Hypertonia of the Internal Anal Sphincter

2010 ◽  
Vol 76 (2) ◽  
pp. 206-210 ◽  
Author(s):  
Rosalia Patti ◽  
Fausto Famà ◽  
Antonino Tornambè ◽  
Margherita Restivo ◽  
Gaetano Di Vita
Keyword(s):  
Anal Sphincter ◽  
Internal Anal Sphincter ◽  
Chronic Anal Fissure ◽  
Advancement Flap ◽  
Healthy Skin ◽  
Anal Fissures ◽  
Early Results ◽  
Sphincter Saving ◽  
Resting Pressure ◽  
Maximum Resting Pressure

The aim of this study was to assess the efficacy of fissurectomy with skin advancement flap in healing chronic anal fissures without hypertonia of the internal anal sphincter. Twenty-six consecutive patients who failed healing after well-practiced topical medical therapy were enrolled. Anorectal manometry was performed preoperative and 6 months postoperatively. All patients were treated with fissurectomy and advancement flap through healthy skin tissue. All patients healed completely within 30 days from operation. The intensity and the duration of pain post-defecation was reduced significantly with respect to the preoperative values starting from the first defecation. One patient suffered urinary retention, two patients suffered infections, and two partial breakdowns were recorded. At 6 months the maximum resting pressure values were similar to those were detected preoperatively. One month after surgery, anal incontinence was reported in seven patients, four of whom complained about it preoperatively. At 12 months, only three subjects reported incontinence. No patients needed reoperation and no recurrences were detected. The fissurectomy, in combination with advancement flap, is a safe sphincter-saving procedure for the treatment of chronic anal fissures without hypertonia of internal anal sphincter that fails medical conservative treatment.

Clinical Update: Assessing Maximum Medical Improvement in Carpal Tunnel Syndrome

2003 ◽  
Vol 8 (4) ◽  
pp. 4-5
Author(s):  
Christopher R. Brigham ◽  
James B. Talmage
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Proper Time ◽  
Carpal Tunnel Release ◽  
Hand Function ◽  
Factors Affecting ◽  
Early Results ◽  
Medical Evaluation ◽  
Nerve Recovery ◽  
Tunnel Syndrome

Abstract Permanent impairment cannot be assessed until the patient is at maximum medical improvement (MMI), but the proper time to test following carpal tunnel release often is not clear. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides) states: “Factors affecting nerve recovery in compression lesions include nerve fiber pathology, level of injury, duration of injury, and status of end organs,” but age is not prognostic. The AMA Guides clarifies: “High axonotmesis lesions may take 1 to 2 years for maximum recovery, whereas even lesions at the wrist may take 6 to 9 months for maximal recovery of nerve function.” The authors review 3 studies that followed patients’ long-term recovery of hand function after open carpal tunnel release surgery and found that estimates of MMI ranged from 25 weeks to 24 months (for “significant improvement”) to 18 to 24 months. The authors suggest that if the early results of surgery suggest a patient's improvement in the activities of daily living (ADL) and an examination shows few or no symptoms, the result can be assessed early. If major symptoms and ADL problems persist, the examiner should wait at least 6 to 12 months, until symptoms appear to stop improving. A patient with carpal tunnel syndrome who declines a release can be rated for impairment, and, as appropriate, the physician may wish to make a written note of this in the medical evaluation report.

Early Results From the Primaries: Life Stress and Childhood

1988 ◽  
Vol 33 (9) ◽  
pp. 812-813
Author(s):  
C. R. Snyder
Keyword(s):  
Life Stress ◽  
Early Results

Early results after implantation of Siena™ Collared Graft in elephant-trunk procedure

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
AM Dell'Aquila ◽  
SRB Schneider ◽  
D Schlarb ◽  
A Rukosujew ◽  
S Martens
Keyword(s):  
Elephant Trunk ◽  
Early Results ◽  
Elephant Trunk Procedure

Minimally invasive triple valve surgery through partial upper sternotomy: Early results are promising

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
PS Risteski ◽  
N Monsefi ◽  
E Srndic ◽  
T Josic ◽  
UA Stock ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Valve Surgery ◽  
Early Results ◽  
Triple Valve
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