지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.10
- 수록면
- 275 - 280 (6page)
- DOI
- 10.3393/ac.2020.00976.0139
이용수
초록· 키워드
오류제보하기
Purpose: Anal fissure is a common anorectal condition, yet its pathogenesis remains unclear. Lateral internal sphincterotomy (LIS) is the gold standard treatment for chronic anal fissures that do not respond to conservative treatment; however, it has a risk of anal incontinence. We believe that fibrosis of the internal anal sphincter is an important factor in the pathogenesis of chronic anal fissure. In this study, we describe the minimal LIS method, a minimally invasive method where only the fibrotic portion of the internal anal sphincter is cut. We also describe the outcomes of this method.Methods: We performed a retrospective review of 468 patients (270 male and 198 female) who underwent minimal LIS for chronic anal fissure in 2017 at Seoul Song Do Hospital. We analyzed the patients’ clinical characteristics, manometry data, complications, and outcomes of minimal LIS. The outcomes of the surgery were assessed via questionnaires during the postoperative outpatient visits, beginning 2 weeks postoperatively.Results: The overall complication rate was 4.0% (19 patients). Delayed healing occurred in 14 patients (3.0%), perianal abscess was present in 3 patients (0.6%), and gas incontinence occurred in 2 patients (0.4%). All complications were improved with conservative treatment. Recurrence, defined as the recurrence of anal fissure more than 4 weeks after healing, was present in 6 patients (1.3%).Conclusion: Minimal LIS is a safe and effective treatment option for patients with chronic anal fissure. Postoperative complications, especially incontinence and recurrence, are rare.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Wienert V / 2017 / Anal fissure: symptoms, diagnosis and therapies / Springer International Publishing AG
Ray JE / 1974 / Presidential address: lateral subcutaneous internal anal sphincterotomy for anal fissure / Dis Colon Rectum 17:139~144
Madalinski MH / 2011 / Identifying the best therapy for chronic anal fissure / World J Gastrointest Pharmacol Ther 2:9~16
Beaty JS / 2016 / Anal fissure / Clin Colon Rectal Surg 29:30~37
Hancke E / 2010 / Dermal flap coverage for chronic anal fissure: lower incidence of anal incontinence compared to lateral internal sphincterotomy after long-term follow-up / Dis Colon Rectum 53:1563~1568
Ray JE / 1974 / Presidential address: lateral subcutaneous internal anal sphincterotomy for anal fissure / Dis Colon Rectum 17:139~144
Madalinski MH / 2011 / Identifying the best therapy for chronic anal fissure / World J Gastrointest Pharmacol Ther 2:9~16
Beaty JS / 2016 / Anal fissure / Clin Colon Rectal Surg 29:30~37
Hancke E / 2010 / Dermal flap coverage for chronic anal fissure: lower incidence of anal incontinence compared to lateral internal sphincterotomy after long-term follow-up / Dis Colon Rectum 53:1563~1568
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