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Anal fissure (chronic)
1Department of General Surgery, Northern General Hospital, Sheffield, UK.
BMJ Clinical Evidence
|November 14, 2014
Summary
Surgical treatments for chronic anal fissures, including anal advancement flap, anal stretch, and internal anal sphincterotomy, were reviewed for effectiveness and safety. This systematic review evaluated nine studies to assess these common interventions for anal pain.
Area of Science:
- Colorectal Surgery
- Gastroenterology
Background:
- Anal fissures are a frequent cause of significant anal pain post-defecation.
- Low dietary fiber intake is a potential contributing risk factor.
Purpose of the Study:
- To systematically review the effects of surgical treatments for chronic anal fissure.
- To evaluate the effectiveness and safety of various surgical interventions.
Main Methods:
- Systematic review of nine studies.
- Searched major medical databases (Medline, Embase, Cochrane Library) up to January 2014.
- Included harms alerts from regulatory agencies (FDA, MHRA).
Main Results:
- Nine studies met the inclusion criteria for the review.
- GRADE evaluation was performed to assess the quality of evidence for interventions.
Conclusions:
- Information on the effectiveness and safety of anal advancement flap, anal stretch/dilation, and internal anal sphincterotomy is presented.
- These surgical options are key interventions for managing chronic anal fissures.
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