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Evaluation of Outcomes in Fissurectomy and V–Y Advancement Flap for the Treatment of Chronic Anal Fissure; [Avaliacao De Desfechos Na Fissurectomia E Retalho De Avanco Em V–Y Para O Tratamento De Fissura Anal Cronica] Publisher



Anaraki F1 ; Foroughifar T2 ; Laleh SH1 ; Etemad O3
Authors
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Authors Affiliations
  1. 1. Shahid Beheshti University of Medical Sciences, Taleghani Hospital Research Development Unit, Colorectal Division of Surgical Ward, Tehran, Iran
  2. 2. Tehran University of Medical Sciences, Baharloo Hospital, Department of Pelvic Floor Surgery, Tehran, Iran
  3. 3. Tehran University of Medical Sciences, Imam Khomeini Hospital Complex, Plastic & Reconstructive Surgery Ward, Tehran, Iran

Source: Journal of Coloproctology Published:2018


Abstract

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. © 2018 Sociedade Brasileira de Coloproctologia