Erschienen in:
14.10.2015 | Letter to Editor
Local and Oral Antibiotics with Avoidance of Constipation (LOABAC) Treatment for Anal Fissure: a New Concept in Conservative Management
verfasst von:
Pankaj Garg
Erschienen in:
Indian Journal of Surgery
|
Ausgabe 1/2016
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Excerpt
Anal fissure is one of the most common presenting complaints in the outpatient departments of colorectal and general surgery. In spite of newer advances (nitroglycerin or diltiazem gels and botulinum injection locally) in the conservative management of this disease, up to 40 % of patients would still require surgical intervention. In surgical options, lateral internal sphincterotomy (LIS) is considered as a gold standard by many surgeons because it is believed to be safe, has low morbidity, and is easy to perform. However, recent meta-analysis shows that LIS is associated with up to 14 % incontinence rates. Therefore, the need for conservative management cannot be overemphasized. …