Treatment of Anal Fissure - Revisited
[摘要] Fissureinanoisatroublingandpainfulconditionthataffectsagreatmajorityofthepopulationworldover.Thenatureandanatomyofthefissureinanoisquiteclear,andmuchisknownaboutthevariouspredisposingandcontributingfactorsthatleadtoinitiationandprogressionofthedisease.Thepreferredmethodoftreatingthem,onethatresultsinoptimalclinicalresultsandtheleastpainandinconvenienceforthepatient,however,hasbeenopentodebate.Thisstudyoutlinesabriefaccountofthepresentscenarioofdifferenttechniquesavailableforthetreatmentofchronicanalfissure.Consideringallaspects,itcanbeconcludedthatmedicalmanipulationoftheinternalsphinctershouldbeafirst-linetreatmentinanalfissure.Whenthisfailsorfissuresrecur,lateralsubcutaneousinternalsphincterotomyshouldbethepreferredoptionsforthetreatmentofchronicfissureinano.Nevertheless,alltheoptionsshouldbepresentedtothepatientwithcompleteinformationaboutthemethod,curerates,complications,andrecurrenceofthedisease.
[发布日期] [发布机构]
[效力级别] [学科分类] 基础医学
[关键词] Fissure-in-Ano;Sphincterotomy;Recurrence;Anal spasm. [时效性]
