Precise anorectal sphincter dilatation--its role in the therapy of anal fissures.

Autor: Sohn N; Department of Surgery, Lenox Hill Hospital, New York, New York., Eisenberg MM, Weinstein MA, Lugo RN, Ader J
Jazyk: angličtina
Zdroj: Diseases of the colon and rectum [Dis Colon Rectum] 1992 Apr; Vol. 35 (4), pp. 322-7.
DOI: 10.1007/BF02048108
Abstrakt: For the past 20 years, internal anal sphincterotomy has generally been considered to be the standard operation for an anal fissure. We sought an alternative form of treatment because of the wound complications inherent in this operation. Anal dilatation, precisely performed with a Parks' retractor opened to 4.8 cm or with a 40-mm rectosigmoid balloon, has been found to cure successfully the fissure in 93 percent and 94 percent, respectively, of each group and to be associated with fewer complications.
Databáze: MEDLINE