Evaluation of outcomes in fissurectomy and V –Y advancement flap for the treatment of chronic anal fissure

Publication date: Available online 18 February 2018 Source:Journal of Coloproctology Author(s): Fakhrosadat Anaraki, Tahereh Foroughifar, Seyed Hossein Laleh, Omid Etemad Chronic anal fissure is difficult to treat. Surgery is usually recommended in the case of drug therapeutic failure. Fecal incontinence in patients with weaker sphincters (multipara older patients with a history of pelvic surgery etc.) is a major reason for rejecting surgery. Such these patients should be underwent fissurectomy and V–Y advancement flap in which sphincterotomy is not required. In this prospective study, we determined the outcomes and complications of fissurectomy and V–Y advancement flap in both groups of patients with low and high anal sphincter tones.
Source: Journal of Coloproctology - Category: Gastroenterology Source Type: research