منابع مشابه
Anal fissure.
Anal fissure is one of the most common anorectal problems. Anal fissure is largely associated with high anal sphincter pressures and most treatment options are based on reducing anal pressures. Conservative management, using increased fiber and warm baths, results in healing of approximately half of all anal fissures. In fissures that fail conservative care, various pharmacologic and surgical o...
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 کاملSphincter-Preserving Therapy for Treating a Chronic Anal Fissure: Long-term Outcomes
PURPOSE To estimate the risk of recurrent fissure in ano after sphincter preserving treatments. METHODS A retrospective case note review, combined with a telephone survey was conducted for all patients treated for a chronic anal fissure between 1998 and 2008. RESULTS Six hundred and twelve patients (303 women: mean age, 39 years; range, 16-86 years) were treated for chronic anal fissure bet...
متن کاملClosed anal sphincter manipulation technique for chronic anal fissure
Background: The author describes a technique of closed manipulation of the fibers of the internal anal sphincter to relieve anal spasm in patients with chronic anal fissures. Patients and methods: 301 patients with chronic anal fissures treated with this technique were enrolled for the study. Preoperative and postoperative anal manometry was recorded. An independent observer assessed postoperat...
متن کاملAnal fissure: a common cause of anal pain.
herman Villalba, MD, (left) is a resident in the Department of Surgery, los Angeles Medical Center in California. E-mail: [email protected]. Sabrina Villalba, MD, (center) is a resident in the Department of Family Medicine, los Angeles Medical Center in California. E-mail: [email protected]. Maher A Abbas, MD, fACS, fASCRS, (right) is an Assistant Clinical Professor of Surgery at...
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ژورنال
عنوان ژورنال: BMJ
سال: 1997
ISSN: 0959-8138,1468-5833
DOI: 10.1136/bmj.314.7095.1638