Erschienen in:
24.09.2019 | Technical Note
Fissurectomy with vertical non-full-thickness sphincterotomy for chronic anal fissure
verfasst von:
A. Tsunoda, T. Takahashi, H. Kusanagi
Erschienen in:
Techniques in Coloproctology
|
Ausgabe 10/2019
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Excerpt
Lateral internal sphincterotomy (LIS) remains the mainstay of treatment for chronic anal fissure (CAF) [
1]. This procedure commonly involves division of the internal anal sphincter (IAS) from its distal end to either the proximal end of the fissure or the dentate line. Overall healing rates after LIS are 94%, but 3.4–4.4% of patients develop anal incontinence [
1]. The risk of fecal incontinence specifically is reported as low but significant to the patient [
2]. …