incluyen la inyección de toxina botulínica (Botox) en el esfínter anal o división quirúrgica de la parte interna del esfínter anal (esfinterotomía lateral interna). La fisura anal crónica es una enfermedad de alta prevalencia en la población occidental, donde la esfinterotomía lateral interna (ELI) subcutánea o cerrada es . Resting anal canal pressure was measured in 15 patients with anal fissure before and after lateral internal sphincterotomy. This pressure was found to be.

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We investigated the results of open sphincterotomy knterna under local anesthesia in the Outpatient Clinic at our Coloproctology Unit in terms of both fissure healing and postoperative complications.

Surgical treatment of chronic fissure-in-ano: Dis Colon Rectum, 41pp. Ambulatory closed lateral sphincterotomy under local anaesthesia can be safely performed at quite high healing rates and reasonable continence impairment without bringing disturbing complications about.

Anatomic and functional evaluation.

Lateral internal sphincterotomy- Medical Videos

Views Read Edit View history. Complicaciones precoces primera semana: A great variety of therapeutic methods for the treatment of CAF have been proposed when conservative treatment fails: With regard to incontinence, 3 patients 2.


Is ambulatory closed lateral anal sphincterotomy performed under local anaesthesia a good treatment of chronic anal fissure?. Continuing navigation will be considered as acceptance of this use.

Lateral internal sphincterotomy – Wikipedia

Results were then compared to normal values for healthy control patients in our lab: It can be performed with either “open” or “closed” techniques: MRP after 1 year in healed patients was Si continua navegando, consideramos que esfinterktomia su uso.

The diagnosis of chronic anal fissure was established on clinical examination visualizationand over 1 month of unsuccessful medical treatment high residue diet, analgesics, and warm sitz baths. Oral nifedipine reduces resting anal pressure and heals chronic anal fissure. The Impact Factor measures the average number of citations received in a particular year by papers published in the latral during the two receding years.

We retrospectively report on patients who underwent ambulatory closed lateral anal sphincterotomy at our out-patient clinic, from to Despite the lesion’s small size, it causes great discomfort and pain, which sometimes becomes incapacitating 1,2. The treatment of anal lateeral by lateral subcutaneous sphincterotomy; a technique and results. MRP was reduced in Primary chronic fissure-in-ano is a common cause of anal pain and bleeding.


Lateral internal sphincterotomy is a minor operation which can be carried out under either local or general anaesthesia ; a report in showed that general anaesthesia is preferable due to high rates of fissure recurrence in patients treated under local anaesthesia. Long-term results of lateral internal sphincterotomy for chronic anal fissure with particular reference to incidence of fecal incontinence.

Lateral internal sphincterotomy

Dis Colon Rectum, 35pp. All incontinent patients were older than All patients were operated on by three surgeons specialized in coloproctology. Moreover, the lower morbidity associated with local anesthesia esvinterotomia compared to general or spinal anesthesia gives the patient a higher degree of satisfaction and comfort 21,28, No preoperative studies, bowel preparation, or antibiotic prophylaxis were carried out.

Languages Italiano Edit links. Open vs closed sphincterotomy for chronic anal fissure. There were no anal abscesses, perianal fistulas, hemorrhoidal thrombosis, or urine retention, nor was there any admission to hospital due to surgical complications.

The portion of the internal anal sphincter divided under local anesthesia tends to be esfinteroyomia, due to the relative difficulty in identifing the sphincter and to the lesser relaxation of the perineum in comparison to other types of anesthesia, which results in fewer disturbances of continence Material and methods We retrospectively report on patients who underwent ambulatory closed lateral anal sphincterotomy at our out-patient clinic, from to Subscribe to our Newsletter.


In most cases esfihterotomia was a single fissure, with 7 patients having more than one. August Pages We carried out a prospective study of patients operated on for chronic anal fissure from September to September in the Coloproctology Unit, General University Hospital, Elche.

There were no significant differences in MSP. Adequate internal sphincterotomy for chronic anal fissure: Anal sphincterotomy Anorectal manometry Lateral internal sphincterotomy Rubber band ligation Transanal hemorrhoidal dearterialization. Tratamiento de la fisura anal: Results Early complications first week included haematoma 3.