Anal fissure surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
===Surgical | ===Surgical Sphincterotomy=== | ||
Surgical intervention may be required for persisting deep anal fissures unresponsive to the above conservative measures. Procedures include: | Surgical intervention may be required for persisting deep anal fissures unresponsive to the above conservative measures. Procedures include: | ||
*Internal lateral sphincterotomy or [[excision|excising]] a portion of the sphincter | *Internal lateral sphincterotomy or [[excision|excising]] a portion of the sphincter | ||
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==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Needs overview]] | |||
[[Category:Gastroenterology]] | |||
[[Category:Proctology]] | |||
[[Category:Disease]] | |||
[[Category:Primary care]] | |||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} |
Revision as of 15:02, 14 March 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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
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