2015
DOI: 10.1016/j.amjsurg.2015.05.005
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Lateral internal sphincterotomy for surgically recurrent chronic anal fissure

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Cited by 31 publications
(32 citation statements)
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References 37 publications
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“…All these results are also consistent with statistics given in the literature. [11][12][13]15 Sentinel skin tag, a feature of chronicity of fissure in ano was observed in 94.4% patients in the present study which is quite consistent with available Indian studies. 12,14 The only issue in Indian scenario is to clip off the skin tag as patient after surgery becomes totally asymptomatic except the complaint of the persistent anal skin tag.…”
Section: Discussionsupporting
confidence: 81%
See 1 more Smart Citation
“…All these results are also consistent with statistics given in the literature. [11][12][13]15 Sentinel skin tag, a feature of chronicity of fissure in ano was observed in 94.4% patients in the present study which is quite consistent with available Indian studies. 12,14 The only issue in Indian scenario is to clip off the skin tag as patient after surgery becomes totally asymptomatic except the complaint of the persistent anal skin tag.…”
Section: Discussionsupporting
confidence: 81%
“…11 Pain on defecation was the chief presenting complaint in all patients of the present study, which is quite consistent with the reported studies from Egypt, United Kingdom, Canada and India. 9,11,13,14 However except one study from India, only half of the patients had a pain on defecation and a quarter of patients with bleeding per rectum, the reason could be the selection of cases of chronic fissure in ano in remission phase. 12 In the present study, the majority of patients presented with the phase of exacerbation.…”
Section: Discussionmentioning
confidence: 99%
“…Recurrence rate is 4-6% in difference studies. 17,18,19 But we did not received any patients with such complications it may be due to poor follow up.…”
Section: Discussionmentioning
confidence: 96%
“…In cases of failure of LIS, patients should be assessed with anorectal manometry and endoanal ultrasound. If the amount of sphincter divided was inadequate, repeat internal sphincterotomy can be done, or contralateral LIS can be performed [95]. Patients' wishes should be taken into consideration for further management.…”
Section: Treatment Algorithmmentioning
confidence: 99%