Anal fissure surgery: Difference between revisions
Jump to navigation
Jump to search
m (Categories) |
No edit summary |
||
Line 1: | Line 1: | ||
__NOTOC__ | __NOTOC__ | ||
{{Anal fissure}} | {{Anal fissure}} | ||
{{CMG}} {{AE}} | {{CMG}};{{AE}}{{ADS}} | ||
==Overview== | ==Overview== | ||
==Indications== | |||
*Surgery is usually the mainstay of treatment and done for patients with either: | |||
**Not responding to conservative measures | |||
**Chronic anal fissures | |||
==Surgery== | ==Surgery== |
Revision as of 15:18, 30 January 2018
Anal fissure Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Anal fissure surgery On the Web |
American Roentgen Ray Society Images of Anal fissure surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Amandeep Singh M.D.[2]
Overview
Indications
- Surgery is usually the mainstay of treatment and done for patients with either:
- Not responding to conservative measures
- Chronic anal fissures
Surgery
Surgical Sphincterotomy
Surgical intervention may be required for persisting deep anal fissures unresponsive to the above conservative measures. Procedures include:
- Internal lateral sphincterotomy or excising a portion of the sphincter
- Anal dilation or stretching of the anal canal is no longer recommended because of the unacceptably high incidence of fecal incontinence.[1] In addition, anal stretching can increase the rate of flatus incontinence.[2]
Despite the high success rate of these surgical procedures (~95%), there are potential side effects, which include risks from anesthesia, infection, and anal leakage (fecal incontinence).
References
- ↑ Kotlarewsky M, Freeman JB, Cameron W, Grimard LJ (2001). "Anal intraepithelial dysplasia and squamous carcinoma in immunosuppressed patients" (PDF). Canadian journal of surgery. Journal canadien de chirurgie. 44 (6): 450–4. PMID 11764880.
- ↑ Sadovsky R (2003). "Diagnosis and management of patients with anal fissures - Tips from Other Journals" (Reprint). American Family Physician. 67 (7): 1608. Unknown parameter
|month=
ignored (help)