Combined mucosal advancement and lateral internal sphincterotomy in treatment of chronic anal fissure: could be an effective alternative procedure?

Autor:	Mahmoud S Eldesouky, Mohammed A. Elbalshy
Rok vydání:	2019
Předmět:	medicine.medical_specialty Constipation business.industry Visual analogue scale medicine.medical_treatment Chronic anal fissure Combined technique Surgery Healing rate medicine Operative time medicine.symptom Lateral internal sphincterotomy Prospective cohort study business
Zdroj:	International Surgery Journal. 6:475
ISSN:	2349-2902 2349-3305
DOI:	10.18203/2349-2902.isj20190387
Popis:	Background: Chronic Anal Fissure (CAF) is a common anal problem. Lateral Internal Sphincterotomy (LIS) is the recommended treatment when conservative treatment fails, however it has its drawbacks. On the other hand, Anal Advancement Flap (AAF) may help in some cases. In this study, we tried to combine both techniques to evaluate the outcome of this dual procedure.Methods: This prospective study was conducted on one hundred patients with chronic anal fissure who were divided randomly into two groups group (A) LIS, group (B) the combined technique. Both groups were compared regarding, pain and constipation prior to treatment and at 1, 2, 4, 6 weeks post-operative using Visual Analogue Scale (VAS) and Wexner constipation score at 6weeks in addition to timing of complete fissure healing.Results: Both groups were comparable preoperatively regarding demographic data, pain score, constipation score but post-operative group B has achieved an earlier significant decrease in pain score, (1.7±0.65 vs 4.4±1.1) at 1st week (P
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::7b9037b726b7dab7998b0880b8a8c20e https://doi.org/10.18203/2349-2902.isj20190387 Zobrazit plný text záznamu