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Sphincterotomy is the Gold-Standard Treatment of Chronic Anal Fissure: But How Should it be Done?
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A chronic anal fissure is one of the most encountered anorectal diseases in the clinical practice of general surgery. After all the medical therapies have failed, lateral internal sphincterotomy is still the main-stay treatment for chronic anal fissure. The optimal and standardized sphincterotomy has the utmost importance in preventing postoperative incontinence and recurrence, which are consequences of either extreme or insufficient sphincterotomy. Therefore, the lateral internal sphincterotomy technique has been evolved within years with the initial proposition of controlled-sphincterotomy and improvement of this technique with the addition of sphincterotomy up to the dentate line. This chapter focuses on the chronic anal fissure in the era of spasm-controlled lateral internal sphincterotomy.
Title: Sphincterotomy is the Gold-Standard Treatment of Chronic Anal Fissure: But How Should it be Done?
Description:
A chronic anal fissure is one of the most encountered anorectal diseases in the clinical practice of general surgery.
After all the medical therapies have failed, lateral internal sphincterotomy is still the main-stay treatment for chronic anal fissure.
The optimal and standardized sphincterotomy has the utmost importance in preventing postoperative incontinence and recurrence, which are consequences of either extreme or insufficient sphincterotomy.
Therefore, the lateral internal sphincterotomy technique has been evolved within years with the initial proposition of controlled-sphincterotomy and improvement of this technique with the addition of sphincterotomy up to the dentate line.
This chapter focuses on the chronic anal fissure in the era of spasm-controlled lateral internal sphincterotomy.
Related Results
To Investigate the Association between the Extent of Lateral Internal Anal Sphincterotomy and Postoperative Fecal Incontinence in Individuals with Chronic Anal Fissure
To Investigate the Association between the Extent of Lateral Internal Anal Sphincterotomy and Postoperative Fecal Incontinence in Individuals with Chronic Anal Fissure
Background: The primary objective of this investigation was to evaluate the prevalence of fecal incontinence after surgery in individuals who underwent open lateral internal anal s...
A comparative study of the outcome of unilateral versus bilateral internal anal sphincterotomy in treatment of chronic anal fissure
A comparative study of the outcome of unilateral versus bilateral internal anal sphincterotomy in treatment of chronic anal fissure
Background: Gold standard treatment for chronic anal fissure is lateral internal sphincterotomy. Bilateral internal sphincterotomy (BIS) as a treatment option for chronic anal fiss...
A comparative study of the outcome of unilateral versus bilateral internal anal sphincterotomy in treatment of chronic anal fissure
A comparative study of the outcome of unilateral versus bilateral internal anal sphincterotomy in treatment of chronic anal fissure
Background: Gold standard treatment for chronic anal fissure is lateral internal sphincterotomy. Bilateral internal sphincterotomy (BIS) as a treatment option for chronic anal fiss...
Utility of Ultrasound in the Evaluation of Chronic Anal Fissure
Utility of Ultrasound in the Evaluation of Chronic Anal Fissure
Introduction: Anal fissure is a linear tear in the anal mucosa seen distal to the dentate line. The diagnosis
of chronic anal fissure depends on clinical history, physical exam, an...
A PROSPECTIVE STUDY ON CLOSED LATERAL INTERNAL SPHINCTEROTOMY IN CHRONIC ANAL FISSURES
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Background: An anal fissure is a longitudinal rupture in the mucosa of the lower anal canal that results in slightbleeding when hard stool is passed and uncomfortable defecation. I...
Botulinum Injection and Sphincterotomy for Management of Anal Fissure in Terms of Healing of Anal Fissure: A Randomized Controlled Trial
Botulinum Injection and Sphincterotomy for Management of Anal Fissure in Terms of Healing of Anal Fissure: A Randomized Controlled Trial
Aim: To compare the efficacy of botulinum injection with lateral internal sphincterotomydone for management of anal fissure in terms of healing of anal fissure Study design: Rand...
FREQUENCY OF POSTOPERATIVE FECAL INCONTINENCE IN PATIENTS UNDERGOING OPEN ANAL INTERNAL SPHINCTEROTOMY FOR CHRONIC ANAL FISSURE
FREQUENCY OF POSTOPERATIVE FECAL INCONTINENCE IN PATIENTS UNDERGOING OPEN ANAL INTERNAL SPHINCTEROTOMY FOR CHRONIC ANAL FISSURE
Background: Chronic anal fissure is a common proctologic condition characterized by pain and bleeding during defecation. Open anal internal sphincterotomy is considered the gold st...
<b>COMPARISON OF CUTTING VERSUS COAGULATION OF THE INTERNAL ANAL SPHINCTER IN TERMS OF POSTOPERATIVE OUTCOMES IN LATERAL INTERNAL SPHINCTEROTOMY FOR ACUTE ANAL FISSURE</b>
<b>COMPARISON OF CUTTING VERSUS COAGULATION OF THE INTERNAL ANAL SPHINCTER IN TERMS OF POSTOPERATIVE OUTCOMES IN LATERAL INTERNAL SPHINCTEROTOMY FOR ACUTE ANAL FISSURE</b>
Background: Lateral internal sphincterotomy (LIS) remains the gold standard surgical treatment for chronic and acute anal fissures refractory to conservative management. However, t...

