A review of chronic anal fissure management
| Autor: | Jonathan N. Lund, E. E. Collins |
|---|---|
| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
Botulinum Toxins medicine.drug_class Administration Topical medicine.medical_treatment Chronic anal fissure Calcium channel blocker Postoperative Complications medicine Humans Nitric Oxide Donors Digestive System Surgical Procedures Anal fissure business.industry Gastroenterology Calcium Channel Blockers medicine.disease Dilatation Botulinum toxin Colorectal surgery Surgery Neuromuscular Agents Anal sphincter spasm Chronic Disease Fissure in Ano Lateral internal sphincterotomy business Algorithms Fecal Incontinence Abdominal surgery medicine.drug |
| Zdroj: | Techniques in Coloproctology. 11:209-223 |
| ISSN: | 1128-045X 1123-6337 |
| DOI: | 10.1007/s10151-007-0355-9 |
| Popis: | Anal fissure management has rapidly progressed in the last 15 years as our understanding of fissure pathophysiology has developed. All methods of treatment aim to reduce the anal sphincter spasm associated with chronic anal fissures. Surgical techniques have been used for over 100 years with success. Lateral internal sphincterotomy remains the surgical treatment of choice for many practitioners. Postoperative impairment of continence remains controversial. Recently, less invasive methods of treatment have been explored. Topical nitrates, calcium channel blockers and botulinum toxin are established treatments. These and other non-surgical treatments are described in this review. Various guidelines and treatment algorithms for anal fissure are also discussed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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