Milito G, Arullani A, Brancaleone C, Cesca D, Filingeri V, Casciani C U
Ital J Surg Sci. 1983;13(4):275-9.
One hundred and seventeen patients with chronic anal fissure were submitted to subcutaneous internal lateral sphincterotomy. Immediate pain relief was observed in all patients except two, in whom sphincterotomy was incomplete. One hundred and ten patients had their first painless bowel movement 24 to 48 hours after the operation. Temporary incontinence to flatus was reported by 38 patients, whereas fecal incontinence was never observed. Healing time of the wound was six days, that of the fissure four weeks. In the 98 patients followed at six months and one year, no complications or recurrences were reported. If particular technical precautions are taken, this type of operation presents several advantages over other procedures, namely posterior midline sphincterotomy and anal stretching.
117例慢性肛裂患者接受了皮下内括约肌切断术。除2例括约肌切断不完全的患者外，所有患者术后疼痛均立即缓解。110例患者在术后24至48小时首次出现无痛排便。38例患者报告有暂时性排气失禁，而未观察到大便失禁。伤口愈合时间为6天，肛裂愈合时间为4周。在随访6个月和1年的98例患者中，未报告有并发症或复发情况。如果采取特定的技术预防措施，这种手术方式比其他手术，即后正中括约肌切断术和肛门扩张术，具有若干优势。
