Treatment of chronic anal fissure: Is open lateral internal sphincterotomy (LIS) a safe and adequate option?
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 کاملClosed Versus Open Lateral Internal Sphincterotomy Technique in Treatment of Anal Fissure
Background: Although lateral internal sphincterotomy is an effective treatment of chronic fissure in ano, it’s of potential to better-done and lower complications. And the aim of this prospective randomized trial was to compare the effectiveness and morbidity of open and closed sphincterotomy in the treatment of chronic anal fissure. Methods: The two methods were compared in a randomized contro...
متن کاملLateral subcutaneous internal sphincterotomy in the treatment of chronic anal fissure: our experience.
BACKGROUND Chronic anal fissure is the most common cause of anal pain associated with internal anal sphincter hypertonia. Reduction of hypertonia favours fissure healing. Temporary reduction in sphincter tone can be achieved by conservative treatment. Surgical sphincterotomy achieves permanent reduction of sphincter hypertonia and is very successful at healing anal fissures, but requires an ope...
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 کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Asian Journal of Surgery
سال: 2019
ISSN: 1015-9584
DOI: 10.1016/j.asjsur.2018.10.001