Lateral internal sphincterotomy for fissure-in-ano—Revisited

Hananel, N; Gordon, Philip H.

doi:10.1007/bf02055386

Cited by 82 publications

(43 citation statements)

References 28 publications

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“…In our study in the surgical treatment group, 96 % of the patient showed complete healing of their fissure in 8 weeks. Hananal and Gordon [13] reported a healing rate of 84 % in 4 weeks raised to 94.4 % in 8 weeks. In our study ulcer healing at 8 weeks was significantly higher (p=0.004) in surgical treatment group (96.0 %) than in medical treatment group (76.0 %).…”

Section: Discussionmentioning

confidence: 98%

Comparative Study of Lateral Sphincterotomy versus Local 2 % Diltiazem Ointment for the Treatment of Chronic Anal Fissure

Kuiri¹,

Saha²,

Ghosh³

et al. 2014

IOSRJDMS

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A chronic anal fissure is a non-healing linear tear in the distal anal mucosa below the dentate line and is a painful entity. A fissure is defined as chronic when it fails to heal within Keywords-Lateral internal sphincterotomy, 2 % Diltiazem ointment, chronic anal fissure. I.INTRODUCTION A chronic anal fissure is a crack in the distal anal mucosa which often does not heal after an acute attack. Apart from it being a painful condition it has different modes of presentation such as bleeding per rectum, pain during defecation and pain during defecation with constipation. There are several factors for the development of chronic anal fissure like internal sphincter hypertonia, trauma due to passage of hard stools or diarrhoea episodes, paucity of blood supply, especially the posterior commissure, by the compression of inferior rectal artery. The paucity of blood flow prevents healing of anal fissure until the cycle of internal sphincter hypertonia and decreased blood flow is broken by muscle relaxants or surgery. There are different non-surgical treatments for chronic anal fissure including 2 % Diltiazem ointment topical application and also there are different surgical interventions including lateral internal sphincterotomy. The study was designed to compare the effect of medical management with topical 2 % Diltiazem ointment and surgical treatment by lateral internal sphincterotomy in case of chronic anal fissure with regards to ulcer healing, pain reduction, cessation of bleeding per rectum and incontinence.

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Section: Discussionmentioning

confidence: 98%

Comparative Study of Lateral Sphincterotomy versus Local 2 % Diltiazem Ointment for the Treatment of Chronic Anal Fissure

Kuiri¹,

Saha²,

Ghosh³

et al. 2014

IOSRJDMS

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“…Patient not relieved of fissure symptom or recurrence was surgically treated using. 7,8 lateral internal sphincterotomy with sentinel tag excision.…”

Section: Methodsmentioning

confidence: 99%

“…6 manual anal dilatation or. 7,8,9 lateral internal sphincterotomy, effectively heal most fissures within a few weeks, but may result in permanently impaired anal continence. The present study assess the effectiveness and side effects of topical application of 2%.…”

Section: Introduction 123mentioning

confidence: 99%

Study to Assess the Effectiveness and Side Effect of Diltiazem 2% Gel in the Management of Chronic Fissure - In - Ano

Thakral¹,

Verma²

2015

jemds

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OBJECTIVE:To know the effectiveness and side effect of diltiazem 2% gel in the management of chronic fissure-in-ano. MATERIALS AND METHODS: Prospective study was undertaken at Department of general surgery, Gold Field Medical College and Research Centre, Chhainsa, Ballabhgarh, Haryana from January 2012 to January 2014. 84 patients with only primary fissure-in-ano and in which fissure symptoms not relieved in 8 weeks were treated in this study. RESULT: Study shows male predominance. 60.7% were males 39.3% were females. 76% patients were in age group between 25 to 35 yrs. posterior fissure was in 82.1% of cases and anterior in 17.9% of cases. Fissure healing with pain relief was in 90.4% cases. In 9.6% cases fissure symptoms were not relieved, such patients were treated surgically using lateral internal sphincterotomy with sentinel tag excision. In 2.3% cases had headache and palpitation in 0%cases. CONCLUSION: After doing this study we conclude that one should initially manage the cases of chronic fissure-in-ano with, diltiazem 2% gel before opting any surgical procedure for it.

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“…Dados semelhantes foram relatados por GarciaAguilar et al 15 em série extensa de pacientes. Porém, outros autores apresentaram índices de incontinência menores em suas séries, gerando controvérsia sobre os resultados deste procedimento [15][16][17][18] . De qualquer forma, a lesão do esfíncter interno do ânus e, por vezes do esfíncter externo que ocorrem nesta operação favorecem o desencadeamento de incontinência fecal, principalmente em pacientes mais idosos ou com defeitos ocultos do aparelho esfincteriano, que ocorrem em mulheres com partos vaginais prévios 19,20 .…”

Section: Cirurgias Orificiaisunclassified

Transplante anorretal como proposta terapêutica para o tratamento de incontinência fecal e colostomia definitiva

Hirano

Seid

Galvão

et al. 2013

Rev. Med. (São Paulo)

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RESUMO:A incontinência fecal é um problema de enorme impacto social e econômico. Com semelhante semblante encontrase a colostomia definitiva, outra situação de igual gravidade e impacto sobre a vida dos pacientes. Neste trabalho, reuniram-se artigos retirados das bases de dados Cochrane Library, Medline e Embase para tratar das atuais situações desses problemas. A abordagem é realizada através dos tópicos Prevalência e impacto, Etiologia e Tratamento, sendo nesse último descrito e comentado o procedimento do transplante anorretal. A análise realizada revela a atual situação ruim para o tratamento da incontinência fecal e colostomia definitiva, mas coloca o transplante anorretal como proposta futura capaz de alterar essa realidade. DESCRITORES:Transplante heterotópico; Transplante autólogo; Transplante isogênico; Incontinência fecal; Colostomia.ABSTRACT: Fecal incontinence is a problem of great social and economic impact. With similar aspects, there is the definitive colostomy, another situation of equal gravity and impact over the patient's lives. In this work, articles from Cochrane Library, Medline and Embase were revised using these problems as parameters. The approach is systematically accomplished through the topics Prevalence and impact, Etiology and Treatment, with the description of anorectal transplantation in this last topic. The analysis reveals the bad situation of treatment for fecal incontinence and definitive colostomy nowadays, but settles the anorectal transplantation as a future proposal capable of changing this reality. KEYWORDS:

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Lateral internal sphincterotomy for fissure-in-ano—Revisited

Abstract: This review supports the belief that LIS is a good operation for patients with chronic anal fissure and can successfully be performed under local anesthetic as an outpatient procedure with an acceptable complication rate.

Cited by 82 publications

References 28 publications

Comparative Study of Lateral Sphincterotomy versus Local 2 % Diltiazem Ointment for the Treatment of Chronic Anal Fissure

Comparative Study of Lateral Sphincterotomy versus Local 2 % Diltiazem Ointment for the Treatment of Chronic Anal Fissure

Study to Assess the Effectiveness and Side Effect of Diltiazem 2% Gel in the Management of Chronic Fissure - In - Ano

Transplante anorretal como proposta terapêutica para o tratamento de incontinência fecal e colostomia definitiva

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