Leitlinie: Analfissur

Raulf, Franz; Eissen, J. Meier zu; Furtwängler, A.; Herold, Alexander; Mlitz, Horst; Osterholzer, G.; Pommer, Gerd; Strittmatter, Beate; Wienert, V.

doi:10.1007/s00053-009-0022-x

Cited by 14 publications

(2 citation statements)

References 8 publications

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“…Einerseits wird im angloamerikanischen Sprachraum der Übergang einer akuten in eine chronische Analfissur nach der Dauer von über 6 …”

Section: Analfissurunclassified

Chronische und akute Analulzera

Weyandt¹

2009

Hautarzt

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Classic types of anal ulcers are acute and chronic anal fissure. Characteristic symptoms of chronic fissures are severe pain during defecation accompanied by the triad of ulceration, hypertrophic anal papilla and external skin tag. If the symptoms deviate other causes of ulceration must be considered. Primarily, malignancies should be excluded. The special setting in the anal fold, especially with concurrent immunosuppression, could lead to nonspecific manifestations of different proctological, dermatological and infectious diseases, which can only be clarified by further diagnostic workup and histopathology. Only the correct diagnosis will lead to causal and effective therapy. Successfully treated inflammatory dermatoses and precancerous lesions require regular follow-up because a recurrent or persistent course of the disease may result in malignant transformation.

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“…Einerseits wird im angloamerikanischen Sprachraum der Übergang einer akuten in eine chronische Analfissur nach der Dauer von über 6 …”

Section: Analfissurunclassified

Chronische und akute Analulzera

Weyandt¹

2009

Hautarzt

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“…Andererseits ist die inkomplette Internussphinkterotomie mit einer signifikant höheren Fissurenrezidivrate behaftet. In Deutschland ist dieses Verfahren aus diesen Gründen nach den gültigen Leitlinien als obsolet anzusehen [21].…”

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Komplikationsmanagement in der Fissur- und Fistelchirurgie

Ommer¹

2015

Chirurg

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Options for the treatment of postoperative fecal incontinence are limited. Treatment of postoperative incontinence should first be conservative. Surgical repair of damaged sphincter muscles is often of limited success and sacral nerve stimulation might be an option in selected patients. Especially in patients with fissure-in-ano the indications for surgery should be strictly adhered to. For fistula-in-ano the least invasive and most sphincter-preserving procedure should be selected.

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