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A review of chronic anal fissure management
Techniques in Coloproctology, 2007Anal fissure management has rapidly progressed in the last 15 years as our understanding of fissure pathophysiology has developed. All methods of treatment aim to reduce the anal sphincter spasm associated with chronic anal fissures. Surgical techniques have been used for over 100 years with success. Lateral internal sphincterotomy remains the surgical
E E, Collins, J N, Lund
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Treating chronic anal fissure with botulinum neurotoxin
Nature Clinical Practice Gastroenterology & Hepatology, 2004Recent reports confirm that the management of chronic anal fissure has undergone extensive re-evaluation during the past few years. This rejuvenation of interest is attributable to the application of neurochemical treatment, which has contributed to the tendency to treat the disease on an outpatient basis.
Brisinda G. +4 more
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Treatment of chronic anal fissure by gonyautoxin
Colorectal Disease, 2007AbstractObjective The use of gonyautoxin has been reported to be safe and effective in healing acute and chronic anal fissures. This study was designed to show better efficacy in healing patients with chronic anal fissure by increasing the frequency of toxin injection.Method Twenty‐three chronic anal fissure patients were treated with doses of 100 ...
Garrido Crovetto, Rogelio +6 more
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Diseases of the Colon & Rectum, 1991
Chronic anal fissure is a common condition usually treated by maximal anal dilatation or lateral subcutaneous sphincterotomy. The following method is based on a common surgical principal; to widen a stenosed tube a longitudinal incision is made across the stenosed area and this is sutured transversely as in pyloroplasty.
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Chronic anal fissure is a common condition usually treated by maximal anal dilatation or lateral subcutaneous sphincterotomy. The following method is based on a common surgical principal; to widen a stenosed tube a longitudinal incision is made across the stenosed area and this is sutured transversely as in pyloroplasty.
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Histopathology of the internal anal sphincter in chronic anal fissure
Diseases of the Colon & Rectum, 1989A prospective study of 18 consecutive patients undergoing unilateral, partial-thickness, distal, internal sphincterotomy for the treatment of chronic anal fissure was performed. Biopsies were taken from the base of the fissure and from the lateral muscle before division.
A C, Brown +2 more
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Transperineal Sonographic Anal Sphincter Complex Evaluation in Chronic Anal Fissures
Journal of Ultrasound in Medicine, 2014ObjectivesThe purpose of this study was to assess the role of transperineal sonography in assessment of pathologic changes to the anal sphincter complex in patients with chronic anal fissures.MethodsWe conducted a prospective case‐control study of 100 consecutive patients of any age and both sexes with chronic anal fissures who presented to a ...
Elsaid M, Bedair +4 more
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Therapy for Chronic Anal Fissure
2017Amazingly enough, the healing rates after treatment for chronic anal fissure stated in randomized controlled trials are extremely divergent. There are many reasons for that.
Volker Wienert, Franz Raulf, Horst Mlitz
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BMJ clinical evidence, 2018
Anal fissures are a common cause of anal pain during, and for 1 to 2 hours after, defecation. The cause is not fully understood, but low intake of dietary fibre may be a risk factor.We conducted a systematic review and aimed to answer the following clinical question: What are the effects of surgical treatments for chronic anal fissure?
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Anal fissures are a common cause of anal pain during, and for 1 to 2 hours after, defecation. The cause is not fully understood, but low intake of dietary fibre may be a risk factor.We conducted a systematic review and aimed to answer the following clinical question: What are the effects of surgical treatments for chronic anal fissure?
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Controlled Lateral Sphincterotomy for Chronic Anal Fissure
Diseases of the Colon & Rectum, 2005This study assessed the usefulness of "controlled" lateral sphincterotomy for chronic anal fissures.Of 225 patients with chronic anal fissure, 110 underwent traditional sphincterotomy to the level of the dentate line, and 115 underwent controlled sphincterotomy in three steps according to the degree of anal stenosis.
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