Clinical and manometric evaluation of women with chronic anal fissure before and after internal subcutaneous lateral sphincterotomy
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...
متن کاملEfficacy and safety of subcutaneous lateral internal sphincterotomy for chronic anal fissure.
BACKGROUND This study was undertaken to determine the efficacy and safety of subcutaneous lateral internal sphincterotomy (SLIS) for chronic anal fissure by assessing the relief of defecatory pain, duration of wound healing and associated complications such as bleeding, infection, and anal incontinence. METHODS This descriptive case series was carried out at the Department of Surgery, Pakista...
متن کاملLateral subcutaneous internal sphincterotomy in the treatment of chronic anal fissure: our experience.
BACKGROUND Chronic anal fissure is the most common cause of anal pain associated with internal anal sphincter hypertonia. Reduction of hypertonia favours fissure healing. Temporary reduction in sphincter tone can be achieved by conservative treatment. Surgical sphincterotomy achieves permanent reduction of sphincter hypertonia and is very successful at healing anal fissures, but requires an ope...
متن کاملAnal canal pressure in anal fissure before and after internal sphincterotomy.
PURPOSE To assess whether the anal canal pressure is increased in patients with a chronic anal fissure and to examine the effects of internal anal sphincterotomy (IASy) on this pressure. MATERIALS AND METHOD Anorectal manometry was performed in 28 patients in whom an anal fissure had been diagnosed by means of physical examination and anuscopy. After IASy the manometric measurement was repeat...
متن کاملevaluation of topical l-arginine gel and comparison with lateral internal sphincterotomy in treatment of chronic anal fissure
background: at present, surgery is the best method for chronic anal fissure, but by acquiring more knowledge about the pathogenesis and function of internal anal sphincter, non surgical treatment such as using of glycerin trinitrate, isosorbide, bethancol, diltiazem and butilinum toxin has been suggested. there is controversy about using of l-arginine. the aim of the present study was to compar...
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ژورنال
عنوان ژورنال: Journal of Coloproctology (Rio de Janeiro)
سال: 2012
ISSN: 2317-6423
DOI: 10.1590/s2237-93632012000200010