Open lateral sphincterotomy is still the best treatment for chronic anal fissure.
Chronic anal fissure is the main cause of anal pain and is very common. Many treatment modalities have been tried-none is ideal. Recently, topical nitric oxide releasing agents and botulin toxin injections have been used, trying to replace surgery. No long-term experience is available. Personal experience with 2,108 open, ambulatory, lateral sphincterotomy with follow-up of 4-20 years is presented.
Argov
S
S
Elisha and Horev Medical Centers, Haifa, Israel.
Levandovsky
O
O
D000556:Ambulatory Surgical Procedures; D001003:Anal Canal / Q000601:surgery*; D000779:Anesthetics, Local / Q000008:administration & dosage; D002045:Bupivacaine / Q000008:administration & dosage; D002908:Chronic Disease; D005401:Fissure in Ano / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D007413:Intestinal Mucosa / Q000601:surgery; D008012:Lidocaine / Q000008:administration & dosage; D008874:Midazolam / Q000008:administration & dosage; D009407:Nerve Block; D017060:Patient Satisfaction; D011183:Postoperative Complications; D012008:Recurrence; D013536:Suture Techniques; D016896:Treatment Outcome
D000779:Anesthetics, Local; D006993:Hypnotics and Sedatives; D008012:Lidocaine; D008874:Midazolam; D002045:Bupivacaine