Internal Anal Sphincter Function Following Lateral Internal Sphincterotomy for Anal Fissure
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 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...
متن کاملComplications and results of lateral internal sphincterotomy for chronic anal fissure
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...
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 کاملSustained internal sphincter hypertonia in patients with chronic anal fissure.
PURPOSE This study was designed to determine whether functional variations of internal sphincter activity occur in order to differentiate between patients with anal fissures from those with hemorrhoids. METHODS Thirty patients with chronic anal fissure (median age, 28 years; 12 females), 22 patients with hemorrhoids (median age, 37 years; 7 females), and 33 control volunteers (median age, 48....
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ژورنال
عنوان ژورنال: Annals of Surgery
سال: 2005
ISSN: 0003-4932
DOI: 10.1097/01.sla.0000171036.39886.fa