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Fissurectomy combined with botulinum toxin A: a review of short- and long-term efficacy of this treatment strategy for chronic anal fissure; a consecutive proposal of a treatment algorithm for chronic anal fissure [PDF]

Coloproctology, 2020
Background Several studies have investigated the short- and long-term efficacy of fissurectomy combined with botulinum toxin A injection for patients with chronic anal fissure.
J M Klaase
exaly   +3 more sources

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A COMPARATIVE STUDY OF LATERAL INTERNAL SPHINCTEROTOMY WITH FISSURECTOMY VS WITHOUT FISSURECTOMY IN FISSURE IN ANO IN A TERTIARY CARE HOSPITAL.

INDIAN JOURNAL OF APPLIED RESEARCH, 2023
An anal ssure is dened as a longitudinal split in the distal anoderm which extends from the anal verge to the dentate line. A high percentage of acute ssures heal spontaneously within three weeks with conservative medical management comprising of a high bre diet, warm sitz bath, and topical analgesic with steroids.
Santhi Manchala, K. V. Satyanarayana, K. Anjaneyulu, Chilakala Venkata Monika, Saketh Nalubola   +4 more
openaire   +1 more source

Fissurectomy Combined with High-Dose Botulinum Toxin Is a Safe and Effective Treatment for Chronic Anal Fissure and a Promising Alternative to Surgical Sphincterotomy [PDF]

Diseases of the Colon and Rectum, 2015
BACKGROUND: There is paucity of data on the long-term outcome of the combination of fissurectomy and botulinum toxin A injection for the management of chronic anal fissure.
Ayman S Abdelrazeq
exaly   +2 more sources

Fissurectomy for Treatment of Chronic Anal Fissures

Diseases of the Colon & Rectum, 2008
de-pending on preceding obstetric trauma and proctologicoperations and, therefore, has been abandoned in manyEuropean centers or described as an overtreatment.Especially in older patients with weak internal analsphincter muscle or even sphincter defects, lateral sphinc-terotomy might deteriorate sphincter function.
Felix Aigner, Friedrich Conrad
openaire   +2 more sources

Fissurectomy and anal advancement flap for anterior chronic anal fissure without hypertonia of the internal anal sphincter in females

Colorectal Disease, 2010
AIM: Lateral internal sphincterotomy is considered the surgical treatment of choice for chronic anal fissure after failure of medical therapy but it risks continence.
G di Vita
exaly   +2 more sources

Injection of botulinum toxin significantly increases efficiency of fissurectomy in the treatment of chronic anal fissures

International Journal of Colorectal Disease, 2021
While acute anal fissures can be treated with topical therapy to reduce sphincter hypertonia (e.g., isosorbide dinitrate, glyceryl trinitrate, diltiazem), chronic fissures may require more invasive instrumental therapy. Currently, the golden standard remains lateral internal sphincterotomy; however, this carries the long-term risk of faecal ...
Philip Roelandt
exaly   +3 more sources

Fissurectomy combined with anoplasty and injection of botulinum toxin in treatment of anterior chronic anal fissure with hypertonia of internal anal sphincter: a pilot study

Techniques in Coloproctology, 2010
BACKGROUND: In patients affected by anterior chronic anal fissure (CAAF) with hypertonia of the internal anal sphincter (IAS), the role of IAS hypertonia remains unclear.
G di Vita
exaly   +2 more sources

Lateral Internal Sphincterotomy with/Without Fissurectomy for Chronic Anal Fissure

2022
Constantine P Spanos
exaly   +2 more sources

Sphincter-sparing anal-fissure surgery: a 1-year prospective, observational, multicentre study of fissurectomy with anoplasty

Colorectal Disease, 2013
Laurent Abramowitz, D Soudan, A Castinel
exaly   +2 more sources

Fissurectomie avec ou sans anoplastie muqueuse

Côlon & Rectum, 2011
Le traitement chirurgical de la fissure anale par fissurectomie avec ou sans anoplastie est decrit.
H. Pillant-Le Moult, A. Senéjoux
openaire   +1 more source