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A Journal on Surgery

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Chirurgia 2004 October;17(5):165-8

language: Italian

Treatment of fissure in ano by subcutaneous latera sphincterotomy

Busacca G., Interlandi A.


Fissure in ano is a widespread condition. Surgical treatment has been the subject of many studies and has been addressed by many authors. The operation which deserves attention and has given excellent results in the treatment of fissure in ano is lateral internal sphincterotomy. Between June 2001 and November 2003 the authors treated 32 patients (20 females, 62.5%, and 12 males, 37.5%). The operated patients were all interviewed by means of a questionnaire after one month. Analysis of the results highlighted a tiny percentage of patients with postoperative pain. Faecal and/or gas incontinence, a much feared complication, was not observed in any case. Postoperative bleeding (in the course of one month) was observed in 2 cases (6.4%). Postoperative haematoma at the site of the incision was encountered in 4 patients (12.9%). We observed 1 case of postoperative abscess at the site of the incision (3.2%) (treated medically with success). There were two cases of anal pruritus (6.4%). Finally there were 5 cases of soling (16.1%). The operation must be carried out meticulously, with identification and incision of the sphincter muscle within the anus. Very few complications were encountered and no case of incontinence, the most feared complication, was observed. Return to work was speedy.

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