CHEMICAL SPHINCTEROTOMY VERSUS SURGICAL SPHINCTEROTOMY (LATERAL INTERNAL SPHINCTEROTOMY) FOR CHRONIC FISSURE-IN-ANO – OUTCOME
نویسندگان
چکیده
منابع مشابه
Presidential address. Lateral subcutaneous internal anal sphincterotomy for anal fissure.
AN ANAL FISSURE is ai1 ulcer of t h e a n a l canal which may extend from the anal verge to the dentate line. It is usually exquisitely painful, so the best treatment is that which is the most expedient but also provides negli#ble recurrence and minimal disability of anal function. Lateral subcutaneous internal anal sphincterotomy best fulfills these criteria and we strongly recommend it as the...
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Background: Anal fissure is one of the most common ano-rectal diseases and 10% of patients ultimately receive surgery. Lateral internal sphincterotomy is highly effective and is the surgical treatment of choice for curing chronic anal fissure with hypertonicity after failure of conservative measures. LIS has a high success rate, but can have complications as bleeding and incontinence. There can...
متن کاملChemical sphincterotomy--first line of treatment for chronic anal fissure.
Anal fissure is a common disorder which may cause symptoms at any age. Internal anal sphincterotomy is the gold standard surgical treatment which lowers the resting anal pressure and effectively heals the majority of fissures. However the post operative period may be marked by surgical risks, complications and late incidence of incontinence that is some times permanent. These complications has ...
متن کاملFrequency of Persistent Postoperative Incontinence in Closed Lateral Internal Sphincterotomy for Chronic Anal Fissure
Objectives: The objective of this study is: To determine frequency of persistent postoperative incontinence in closed lateral internal sphincterotomy for chronic anal fissure. Study design: Descriptive study (Case series). Place and duration: The study was undertaken at the department of the General Surgery, Nishtar Hospital Multan from Nov5,2008 to May 5, 2009. Material and methods: One hundre...
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Background Treatment of chronic anal fissure has been directed at relaxing increased sphincter tone. Lateral internal sphincterotomy (LIS), since its introduction in 1951 by Eisenhammer, has been considered the gold standard approach with healing rate of approaching 95%. However, concerns have been raised about postoperative impairment of faecal incontinence after LIS. Actually, the incidence o...
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ژورنال
عنوان ژورنال: Journal of Evolution of Medical and Dental Sciences
سال: 2014
ISSN: 2278-4748,2278-4802
DOI: 10.14260/jemds/2014/2729