Morbidity associated with treatment of chronic anal fissure

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Morbidity associated with treatment of chronic anal fissure

OBJECTIVE To assess the effectiveness of different modes of treatment of chronic anal fissure as regards improvement of symptoms and complications. METHODS This prospective study included 129 consecutive patients with chronic anal fissures presented to the Surgical Outpatients' Department of Islam Teaching Hospital Sialkot, Pakistan; from September 2010 to November 2012. Patients were distrib...

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Chemical 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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Successful treatment of chronic anal fissure utilizing sacral nerve stimulation.

OBJECTIVE This is a report of a novel treatment approach for chronic anal fissure using minimally invasive sacral nerve stimulation (SNS). MEASUREMENTS The patient underwent uneventful placement of 1 temporary 8-electrode lead (Medtronic Inc, Minneapolis, Minnesota) for sacral nerve root stimulation. RESULTS The patient experienced instantaneous relief of perineal pain after start of SNS an...

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Progress in the understanding and treatment of chronic anal fissure.

BACKGROUND Chronic anal fissure is a common and painful condition associated with internal anal sphincter hypertonia. Reduction of this hypertonia improves the local blood supply, encouraging fissure healing. Surgical sphincterotomy is very successful at healing these fissures but requires an operation with associated morbidity. Temporary reduction in sphincter tone can be achieved on an outpat...

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Innovations in chronic anal fissure treatment: A systematic review.

A chronic anal fissure is a common perianal condition. This review aims to evaluate both existing and new therapies in the treatment of chronic fissures. Pharmacological therapies such as glyceryl trinitrate (GTN), Diltiazem ointment and Botulinum toxin provide a relatively non-invasive option, but with higher recurrence rates. Lateral sphincterotomy remains the gold standard for treatment. Ana...

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ژورنال

عنوان ژورنال: Pakistan Journal of Medical Sciences

سال: 2013

ISSN: 1681-715X

DOI: 10.12669/pjms.295.3623