Open midline internal sphincterotomy (with fissurectomy) in the treatment of chronic anal fissure
Joint Authors
Taha, Safwan A.
Merdan, Isam
Kazim, Haydar Mansur
Source
Issue
Vol. 13, Issue 2 (30 Sep. 2007)4 p.
Publisher
University of Basrah College of Medicine
Publication Date
2007-09-30
Country of Publication
Iraq
No. of Pages
4
Main Subjects
Topics
Abstract EN
Anal fissure represents one of the most common diseases of the ano-rectum in which there is denuded epithelium of the anal canal overlying internal sphincter.
In this study 110 patients underwent posterior midline sphincterotomy as the treatment for their chronic anal fissures.
Mean operating time was 5 minutes and no patient stayed at hospital overnight.
All patients were followed-up for 6 months.
Symptoms were relieved right following surgery.
Four patients developed wound infection.
Other 4 patients experienced some difficulty in micturition but none had retention.
Six patients experienced relative incontinence to flatus for a couple of weeks postoperatively but all of them regained their sphincter control after that.
No patient complained of incontinence for feces.
There were no serious scarring of the area like keyhole deformities or its variants and none of the patients developed recurrence.
Almost all the patients were satisfied with the outcome.
We recommend posterior midline internal sphincterotomy as the surgical treatment of choice for chronic anal fissure because it is simple to perform and results in quick relief of pain and rapid healing in almost all cases, with very few complication and negligible recurrence.
American Psychological Association (APA)
Taha, Safwan A.& Merdan, Isam& Kazim, Haydar Mansur. 2007. Open midline internal sphincterotomy (with fissurectomy) in the treatment of chronic anal fissure. Basrah Journal of Surgery،Vol. 13, no. 2.
https://search.emarefa.net/detail/BIM-112960
Modern Language Association (MLA)
Taha, Safwan A.…[et al.]. Open midline internal sphincterotomy (with fissurectomy) in the treatment of chronic anal fissure. Basrah Journal of Surgery Vol. 13, no. 2 (Sep. 2007).
https://search.emarefa.net/detail/BIM-112960
American Medical Association (AMA)
Taha, Safwan A.& Merdan, Isam& Kazim, Haydar Mansur. Open midline internal sphincterotomy (with fissurectomy) in the treatment of chronic anal fissure. Basrah Journal of Surgery. 2007. Vol. 13, no. 2.
https://search.emarefa.net/detail/BIM-112960
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-112960