PURPOSE To estimate the risk of recurrent fissure in ano after sphincter preserving treatments. METHODS A retrospective case note review, combined with a telephone survey was conducted for all patients treated for a chronic anal fissure between 1998 and 2008. RESULTS Six hundred and twelve patients (303 women: mean age, 39 years; range, 16-86 years) were treated for chronic anal fissure bet...

Chronic anal fissure is one of the most common causes of anal pain and surgical therapy is the treatment of choice. There is scarce information regarding the prophylactic effects of oral metronidazole on postoperative complications of anal fissure. The objective of this study was to determine the effects of metronidazole as a prophylactic measure for postoperative anal fissure complications. In...

PURPOSE The aim of this study was to evaluate the incidence of postoperative complications after Harmonic Scalpels hemorrhoidectomy and to identify any predisposing factors leading to postoperative complications. METHODS Five hundred consecutive cases of Harmonic Scalpel hemorrhoidectomy were studied in a prospective manner. Postoperative complications were recorded, and any predisposing fact...