Combined Fistulotomy and Contralateral Anal Internal Sphincterotomy for Recurrent and Complex Anal Fistula to Prevent Recurrence
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 کاملRadiofrequency fistulotomy: a better alternative for treating low anal fistula.
CONTEXT Wide varieties of approaches are employed in dealing with low anal fistula. However, the simple method of laying open the fistula tract (fistulotomy) is still considered to be the favored one. MATERIALS AND METHODS A modified approach to the procedure of fistulotomy is discussed. This study describes the procedure, which used a technique of radiofrequency surgery, and its outcome in 2...
متن کاملAnal fistulotomy by radiofrequency.
The fear of recurrence or impairment of continence following an operation of fistula in ano had compelled the surgeons to explore use of a variety of diagnostic aids to identify the offending tracts and an equal number of surgical procedures to reduce these risk factors. But despite all these attempts and trying a number of operative options, majority of surgeons still prefer the classical lay ...
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 کاملStudy of operated patients of lateral internal anal sphincterotomy for chronic anal fissure.
INTRODUCTION Anal fissure causes significant morbidity in the population. It is proposed that elevated sphincter pressures may cause ischaemia of the anal lining and this may be responsible for the pain of anal fissures and their failure to heal. When pharmacologic therapy fails or fissures recur frequently, lateral internal sphincterotomy is the surgical treatment of choice. MATERIAL AND MET...
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ژورنال
عنوان ژورنال: Annals of Coloproctology
سال: 2020
ISSN: 2287-9714,2287-9722
DOI: 10.3393/ac.2018.11.19