scholarly journals Importance of the Anorectal Manometry in Chronic Anal Fissure

2001 ◽  
Vol 44 (3) ◽  
pp. 105-107
Author(s):  
Dušan Šimkovič ◽  
Karel Šmejkal ◽  
Milan Široký ◽  
Pavel Hladík ◽  
Ivo Pospíšil
Keyword(s):  
Anal Fissure ◽  
Clinical Symptoms ◽  
Chronic Anal Fissure ◽  
Preoperative Evaluation ◽  
Important Data ◽  
Lateral Sphincterotomy ◽  
Sphincter Function ◽  
Anal Sphincter Function ◽  
Operation Procedure ◽  
Manometric Measurement

This publication presents the results of postoperative manometric investigations of 77 patients with anal fissure treated within the time span 1985-1997 by lateral sphincterotomy (LS). Results of manometric investigations are compared with digital anal examinations and subjective complaints of patients. Digital anal examination correlated with manometry results in 52 cases (68%). The correspondence between these two results was proved in 48 cases when normal finding was present. An increased sphincter tonus was found in 3 patients, all of them having the anal fissure recurrences. A marked sphincters` insufficiency, which had been manifested by stool and gas incontinence was found in one case. When searching for the reason of this complication we found out that this operation procedure had been performed by an unexperienced team of surgeons. In 25 cases (32%) the digital anal assessment and manometric measurement were different. Nevertheless, the clinical symptoms in this group of patients were rather poor. To conclude we may state that manometry provides important data for preoperative evaluation of anal sphincter function and should be performed prior to lateral sphincterotomy operation at least in women.

CASE REPORT: RARE FORM OF HIRSCHPRUNG’S DISEASE

2020 ◽  
Vol 30 (5) ◽  
pp. 82-84
Author(s):  
Ilja Skalskis
Keyword(s):  
Down Syndrome ◽  
Case Report ◽  
Clinical Symptoms ◽  
Hirschsprung Disease ◽  
Distal Colon ◽  
Total Colonic Aganglionosis ◽  
Sphincter Function ◽  
Anal Sphincter Function ◽  
History Of ◽  
High Index Of Suspicion

Hirschsprung disease (HD) is a developmental disorder characterized by the absence of ganglia in the distal colon, resulting in a functional obstruction. Incidence of total colonic aganglionosis (TCA) is 1 in 500 000 and it accounts for 5-10% of all cases of HD. HD should be suspected in patients with typical clinical symptoms and a high index of suspicion is appropriate for infants with a predisposing condition such as Down Syndrome (DS), or for those with a family history of HD. The treatment of choice for HD is surgical, such as Swenson, Soave, and Duhamel procedures. The goals are to resect the affected segment of the colon, bring the normal ganglionic bowel down close to the anus, and preserve internal anal sphincter function. We present a clinical case report of TCA in a child with Down syndrome (DS) and review of literature.

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

Comparison of Glyceryl Trinitrate Ointment versus Internal Lateral Sphincterotomy for Anal Fissure Pain Relief

2021 ◽  
Vol 15 (10) ◽  
pp. 2600-2601
Author(s):  
Imran Sadiq ◽  
Muhammad Javed Shakir ◽  
Ruqqia Naheed Khan ◽  
Muhammad Akhlaq Ahmed ◽  
Syeda Samina Ashfaq ◽  
...  
Keyword(s):  
Pain Relief ◽  
Anal Canal ◽  
Glyceryl Trinitrate ◽  
Anal Fissure ◽  
Distal Part ◽  
Chronic Anal Fissure ◽  
Lateral Sphincterotomy ◽  
Reliable Procedure ◽  
Glyceryl Trinitrate Ointment

Background: Anal fissure is a linear painful mucosal tearing in the distal part of anal canal. It extends from dentate to anal edge. Aim: To compare the glyceryltrinitrate ointment and internal lateral sphincterotomy for anal fissure pain relief in acute/chronic pts. Study Design: Prospective study Place and duration of study: Department of Surgery Unit-II, Fatima Memorial Hospital, Shadman Lahore from 1st October 2018 to 31stDecember 2020. Methodology: 40 pts with acute and chronic anal fissure were enrolled. Half of the patients undergo internal lateral sphincterotomy while other opted 0.2% use of glyceryl trinitrate ointment. Each patient was followed for pain, recovery, complications and recurrence until 12 months for internal lateral sphincterotomy and 18 months in glyceryl trinitrate ointment. Results: There were 24 males and 16 females with a mean age of patients as 30±3.2 years. Initial follow-up of patients showed 100% pain and fissure improvement in internal lateral sphincterotomy group as compared to 60% in glyceryl trinitrate ointment group respectively. Conclusion: Internal lateral sphincterotomy is most efficient and reliable procedure in relieving anal fissure pains. Keywords: Anal fissure, Internal lateral sphincterotomy, Glyceryl trinitrate

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