Cochrane Database of Systematic Reviews 2010
DOI: 10.1002/14651858.cd002199.pub3
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Operative procedures for fissure in ano

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Cited by 58 publications
(66 citation statements)
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“…16 Anal dilatation also has a higher risk of fissure persistence compared with lateral internal sphincterotomy. 17 A method combining the age-old technique of manual dilatation followed by radio surgery is found to be useful for refreshing the edges of the fissure and to tackle pathologies such as sentinel pile, small internal piles or hypertrophied anal papillae. 18 Revisiting the trends of treatment of chronic anal fissures, the preferred options are manual dilatation with radio surgery and the subcutaneous lateral anal sphincterotomy.…”
Section: Discussionmentioning
confidence: 99%
“…16 Anal dilatation also has a higher risk of fissure persistence compared with lateral internal sphincterotomy. 17 A method combining the age-old technique of manual dilatation followed by radio surgery is found to be useful for refreshing the edges of the fissure and to tackle pathologies such as sentinel pile, small internal piles or hypertrophied anal papillae. 18 Revisiting the trends of treatment of chronic anal fissures, the preferred options are manual dilatation with radio surgery and the subcutaneous lateral anal sphincterotomy.…”
Section: Discussionmentioning
confidence: 99%
“…This technique is associated with fewer complications than posterior sphincterotomy, with immediate improvement of pain and success rate above 95 % [2]. However, it is associated with significant incidence of postoperative incontinence ranging between 0 and 35 % for flatus, 0 and 21 % for liquid, and 0 and 5 % for solid stools [4] with an overall incontinence risk as high as 10 % [3]. Variations could be due to operative technique, length of follow-up or criteria used to define anal incontinence [16].…”
Section: Discussionmentioning
confidence: 99%
“…However, it may cause incontinence. As indicated by Nelson [3] in a recent systematic review of randomized surgical trials, after sphincterotomy the overall risk of incontinence is about 10 %, mostly to flatus without any specification of the duration of this problem (transitory or permanent). However, it is a common belief that the risk of permanent incontinence is about 1 %.…”
Section: Introductionmentioning
confidence: 99%
“…In our study, all patients had high resting anal pressure at the preoperative manometric evaluation. Currently LIS is the most commonly used surgical technique for chronic anal fissure treatment as it is associated with high healing rate and significantly improvement in patient quality of life [17][18][19] . It provides permanent reduction of resting pressure of the anal canal in more than 95% of the patients 20,21 and the healing rate is also over 95% 21,22 .…”
Section: Discussionmentioning
confidence: 99%