Gupta Pravin J
Gupta Nursing Home, Laxminagar, Nagpur, India.
Eur Surg Res. 2006;38(2):122-6. doi: 10.1159/000093301. Epub 2006 May 11.
The surgical approach in chronic anal fissure is often found associated with disturbed anal continence as well as recurrence. This report describes the author's approach of 'sphincterolysis' or fragmentation of the fibers of the internal sphincter on the left lateral anal wall.
132 patients with chronic anal fissures were treated with this technique. Pre- and postoperative anal manometry was recorded. The postoperative course and early and 1-year follow-up results were recorded.
Early complications included ecchymosis, hematoma, and pain. Fissure healing and relief of symptoms observed in 97% of patients. A transient, variable degree of incontinence occurred in 23 patients and persistent incontinence to flatus and soiling in 5.
Internal anal sphincterolysis is a safe, effective procedure for the treatment of chronic anal fissure.
慢性肛裂的手术方法常伴有肛门失禁及复发问题。本报告描述了作者在肛门左侧壁对内括约肌纤维进行“括约肌松解术”或纤维破碎术的方法。
132例慢性肛裂患者接受了该技术治疗。记录术前和术后的肛门测压情况。记录术后病程以及早期和1年的随访结果。
早期并发症包括瘀斑、血肿和疼痛。97%的患者肛裂愈合且症状缓解。23例患者出现短暂的、程度不一的失禁，5例患者出现持续性排气及便污失禁。
内括约肌松解术是治疗慢性肛裂的一种安全、有效的方法。
