Surgical treatment of chronic anal fissure. A retrospective study of 1753 cases.
This is a retrospective study of 1753 cases of chronic anal fissures treated by five varying methods over a five-year period from January 1976 to December 1980. Results showed that the incidence of recurrent fissures was higher in those treated by anal fissurectomy with sphincterotomy. There was also a significant difference in operative time, length of hospital stay, patient discomfort, and incidence of urinary retention among these operative methods. Generally, lateral anal sphincterotomy and multiple anal sphincterotomies showed a lesser incidence of these factors. A simpler procedure, such as lateral anal sphincterotomy or multiple anal sphincterotomies, is the treatment of choice for chronic anal fissure. However, a chronic anal fissure associated with symptomatic enlarged hemorrhoids may have a similar result when treated with hemorrhoidectomy and fissurectomy as a combined procedure.
D000328:Adult; D001003:Anal Canal / Q000601:surgery*; D002908:Chronic Disease; D005260:Female; D005401:Fissure in Ano / Q000601:surgery*; D006470:Hemorrhage / Q000209:etiology; D006484:Hemorrhoids / Q000209:etiology; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D012003:Rectal Fistula / Q000209:etiology; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies