Fissure-in-ano: The initial management and prognosis
| Autor: | M. R. Lock, James P. S. Thomson |
|---|---|
| Rok vydání: | 1977 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Fissure in ano medicine Humans Outpatient clinic Child Aged Anus Diseases Anal fissure business.industry Anal Polyp Infant Middle Aged Prognosis medicine.disease Anus Surgery medicine.anatomical_structure Child Preschool Dilator Female Primary treatment Fissure in Ano business Sigmoidoscope |
| Zdroj: | British Journal of Surgery. 64:355-358 |
| ISSN: | 1365-2168 0007-1323 |
| DOI: | 10.1002/bjs.1800640516 |
| Popis: | The results of treatment of 188 consecutive new patients with a primary diagnosis of fissure-in-ano presenting to the Outpatient Department of St Mark's Hospital are reviewed. One-third underwent operation as the primary treatment and were not studied further. Of the remaining patients who underwent non-operative treatment only, one-half were initially cured. Follow-up at 4 years showed that this cure was maintained in half of these-cases, suggesting that there is aplace for treatment with a dilator in the correctly selected case. The presence of a sentinel skin tag or a fibrous anal polyp is shown to have a statistically significant association with operative treatment. The use of a paediatric sigmoidoscope ro diagnose a fibrous anal polyp is recommended. |
| Databáze: | OpenAIRE |
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