Internal sphincterotomy versus topical nitroglycerin ointment for chronic anal fissure
نویسندگان
چکیده
منابع مشابه
Comparative study of lateral internal sphincterotomy versus local 0.2% glyceryl trinitrate ointment for the treatment of chronic anal fissure.
The gold standard surgical treatment of chronic anal fissure is lateral internal sphincterotomy which lowers the resting anal pressure and effectively heals the majority of fissures. Local application of 0.2% glyceryl trinitrate ointment has been used as an agent for chemical sphincterotomy, causing temporary alleviation of sphincter spasm and allowing the fissure to heal without compromising t...
متن کاملPresidential 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 کاملChronic Anal Fissure; Comparison of Lateral Anal Sphincterotomy (closed Method) versus Anal Dilatation
INTRODUCTION removed/ treated. Mostly, such types of fissures are Anal fissure is a distinct clinicopathological condition of situated eccentrically around the anal margin. the lower anal canal. It can be defined as a longitudinal ulcer in the anoderm usually in the posterior midline, less There is no trace of surgery of anal fissure in literature th frequently in the anterior midline, and rare...
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 ...
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ژورنال
عنوان ژورنال: Asian Journal of Surgery
سال: 2014
ISSN: 1015-9584
DOI: 10.1016/j.asjsur.2013.07.004