Fissurectomy-Botulinum Toxin: A Novel Sphincter-Sparing Procedure for Medically Resistant Chronic Anal Fissure[J] . Ian Lindsey,Chris Cunningham,Oliver M. Jones,Chris Francis,Neil J. McC. Mortensen.Diseases of the Colon & Rectum . 2004 (11)...
However, the choice of the procedure must be always evaluated carefully due to the risk of long-term anal continence impairment. The aim of the present study is to report the outcomes of fissurectomy with or without associated anoplasty.#This study is a single-center retrospective study ...
(FI).Sphincter saving procedures have recently been reconsidered as treatments to overcome this risk.The most employed procedure is fissurectomy with anoplasty,eventually associated with pharmacological sphincterotomy.AIM To evaluate whether fissurectomy and anoplasty with botulinum toxin injection improves...
Of them, 18belonged to the sphincterotomy group and 12 belonged to the fissurectomy group.There were noreports of recurrences among the two categories.CONCLUSIONManual anal dilatation with fissurectomy might be considered as an alternative procedure in thesurgical management of chronic anal fissures...
Lateral internal sphincterotomy is recommended as the standard procedure for treating chronic anal fissure. Fissure healing can also be achieved by a posterior midline sphincterotomy, which may be associated with prolonged healing, as well as passive anal leakage.Objectives: This is to compare the ...
This procedure has a decreased risk of incontinence, which is particularly important in females. We investigated the long-term efficacy of fissurectomy and botulinum toxin injection for chronic resistant fissures in females. Methods Female patients who consented underwent excision of the fissure edges ...
The standard treatment for chronic anal fissures that have failed non-operative management is lateral internal sphincterotomy. Surgery can cause de novo incontinence. Fissurectomy has been proposed as a sphincter/saving procedure, especially in the presence of a deep posterior pouch with or without ...