Lateral Internal Partial Sphincterotomy Technique for Chronic Anal Fissure

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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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Study 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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Complications 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...

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Efficacy 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...

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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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ژورنال

عنوان ژورنال: Indian Journal of Surgery

سال: 2016

ISSN: 0972-2068,0973-9793

DOI: 10.1007/s12262-016-1467-0