Lateral subcutaneous sphincterotomy versus anal dilatation in the treatment of fissure in ano in outpatients: a prospective randomised study.

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Presidential address. Lateral subcutaneous internal anal sphincterotomy for anal fissure.

AN ANAL FISSURE is ai1 ulcer of t h e a n a l canal which may extend from the anal verge to the dentate line. It is usually exquisitely painful, so the best treatment is that which is the most expedient but also provides negli#ble recurrence and minimal disability of anal function. Lateral subcutaneous internal anal sphincterotomy best fulfills these criteria and we strongly recommend it as the...

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Chronic Anal Fissure; Comparison of Lateral Anal Sphincterotomy (closed Method) versus Anal Dilatation

INTRODUCTION removed/ treated. Mostly, such types of fissures are Anal fissure is a distinct clinicopathological condition of situated eccentrically around the anal margin. the lower anal canal. It can be defined as a longitudinal ulcer in the anoderm usually in the posterior midline, less There is no trace of surgery of anal fissure in literature th frequently in the anterior midline, and rare...

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Lateral subcutaneous internal sphincterotomy in the treatment of chronic anal fissure: our experience.

BACKGROUND Chronic anal fissure is the most common cause of anal pain associated with internal anal sphincter hypertonia. Reduction of hypertonia favours fissure healing. Temporary reduction in sphincter tone can be achieved by conservative treatment. Surgical sphincterotomy achieves permanent reduction of sphincter hypertonia and is very successful at healing anal fissures, but requires an ope...

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Closed Versus Open Lateral Internal Sphincterotomy Technique in Treatment of Anal Fissure

Background: Although lateral internal sphincterotomy is an effective treatment of chronic fissure in ano, it’s of potential to better-done and lower complications. And the aim of this prospective randomized trial was to compare the effectiveness and morbidity of open and closed sphincterotomy in the treatment of chronic anal fissure. Methods: The two methods were compared in a randomized contro...

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ژورنال

عنوان ژورنال: BMJ

سال: 1984

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.289.6444.528