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:: Volume 17, Issue 4 (Winter 2007) ::
MEDICAL SCIENCES 2007, 17(4): 183-186 Back to browse issues page
A comparison between the results of fissurectomy and lateral internal sphincterotomy in the management of chronic anal fissure
Seyedreza Mousavi , Mehrzad Sharifi , Pegman Kharazmi , Mohammad Zeynal Zadeh 1, Ali Kaviani , Mikaeil Rezayi , Arash Najafbeygi , Alireza Saberi Ghouchani
1- , m54zz@yahoo.com
Abstract:   (27790 Views)

Background: Although lateral internal sphincterotomy is an effective treatment of chronic fissure in ano, it may lead to serious complications, of these, incontinence to flatus and fecal soiling are the most distressing. To avoid such complications, we proposed fissurectomy as an alternative surgical treatment.

 Materials and methods: Totally, 62 consecutive patients through the sequential sampling were divided into two groups. 30 patients underwent fissurectomy (F) and 32 underwent lateral internal sphincterotomy (LIS). After a median follow-up of 22 months, we compared the results of the two procedures. In addition to frequent visits on a predetermined basis, a telephone inquiry into fissure recurrence and continence status was made.

 Results: All patients in either group were pain free and without bleeding within one week. In both groups urinary retention was noted in one patient. Incontinence to flatus was in the LIS group in two (6.2%) patients but no incontinence was noted in the F group. There was one patient (3.1%) with fissure recurrence in the LIS group but no one in the F group. No patient in either group afflicted with anal stenosis or perianal infections. All wounds healed within 8 weeks. 29 patients (96.6%) in the F group and 28(87.5%) in the LIS group reported satisfactory results with their procedure.

 Conclusion: In the surgical treatment of chronic anal fissure not responding to conservative management, fissurectomy may be a sphincter-sparing alternative and perhaps preferable surgical technique with less total complications.

Keywords: Fissurectomy, Lateral internal sphincterotomy, Chronic fissure in ano.
Full-Text [PDF 118 kb]   (3495 Downloads)    
Subject: Epidemiology
Received: 2006/09/6 | Published: 2007/12/15
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Mousavi S, Sharifi M, Kharazmi P, Zeynal Zadeh M, Kaviani A, Rezayi M, et al . A comparison between the results of fissurectomy and lateral internal sphincterotomy in the management of chronic anal fissure . MEDICAL SCIENCES 2007; 17 (4) :183-186
URL: http://tmuj.iautmu.ac.ir/article-1-52-en.html


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Volume 17, Issue 4 (Winter 2007) Back to browse issues page
فصلنامه علوم پزشکی دانشگاه آزاد اسلامی واحد پزشکی تهران Medical Science Journal of Islamic Azad Univesity - Tehran Medical Branch
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