title: Precise anorectal sphincter dilatation--its role in the therapy of anal fissures.
abstract: 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.
authors.affiliation: Department of Surgery, Lenox Hill Hospital, New York, New York.
authors.forename: N
authors.initials: N
authors.lastname: Sohn
authors.forename: M M
authors.initials: MM
authors.lastname: Eisenberg
authors.forename: M A
authors.initials: MA
authors.lastname: Weinstein
authors.forename: R N
authors.initials: RN
authors.lastname: Lugo
authors.forename: J
authors.initials: J
authors.lastname: Ader
mesh_terms: D000328:Adult; D000368:Aged; D000772:Anesthesia, Local; D002404:Catheterization / Q000379:methods; D016292:Procedural Sedation; D004106:Dilatation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010808:Physical Examination; D012003:Rectal Fistula / Q000628:therapy*