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World Journal of Surgery
Erschienen in: World Journal of Surgery 12/2006

01.12.2006

Current Concepts in Anal Fissures

verfasst von: Abraham A. Ayantunde, FRCS, FWACS, Samuel A. Debrah, FRCS, FWACS

Erschienen in: World Journal of Surgery | Ausgabe 12/2006

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Abstract

Introduction

Anal fissure is a common and distressing problem the true incidence of which is probably higher than recorded. There is a progressive understanding of the etiopathogenesis of this entity and the changing trend in its management approach. This is a systematic review of available published literature looking at current management options in anal fissures.

Methods

A MEDLINE-based search of the relevant literature from 1970 to 2004 was performed on the current concepts in etiopathogenesis and management of anal fissure.

Results

The current opinion is a drift toward conservative measures as the first- and second-line approaches rather than surgery for treatment of anal fissure. Simple and readily available measures with less complication, good patient compliance, and satisfaction requiring no hospitalization should first be considered.

Conclusions

Most anal fissures heal with medical therapy, but their limitations include side effects, poor compliance, and recurrence of the fissure. A cautious surgical approach is required to treat those who do not respond to medical therapy.
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Metadaten
Titel
Current Concepts in Anal Fissures
verfasst von
Abraham A. Ayantunde, FRCS, FWACS
Samuel A. Debrah, FRCS, FWACS
Publikationsdatum
01.12.2006
Erschienen in
World Journal of Surgery / Ausgabe 12/2006
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-005-0664-y

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