[Use of Autologous Platelet-Rich Plasma in the Treatment of Chronic Anal Fissure: A Case Series]
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1Instituto Proctológico Doctor Padrón. Las Palmas de Gran Canaria y Santa Cruz de Tenerife, España. Instituto Proctológico Doctor Padrón Las Palmas de Gran Canaria España.
Introduction:
A chronic anal fissure is one of the most frequent and disabling proctologic pathologies. Its therapeutic management is complicated in patients with recurrence or high risk of anal incontinence.
Objective:
This study aims to demonstrate the effectiveness of autologous platelet-rich plasma infiltration in the treatment of chronic anal fissure.
Material And Methods:
A descriptive retrospective observational study was carried out in 16 patients treated at our center for chronic anal fissure with autologous platelet-rich plasma.
Result:
The evolution was satisfactory in all the patients, since in 94% of them the proctalgia had diminished or disappeared during the first 48 hours. One month after treatment, 89% of patients had healed the fissure.
Limitations:
: This study was limited by its small sample size. In addition, long-term follow-up of the patients was not reported.
Conclusions:
The use of autologous platelet-rich plasma is an alternative in the medical treatment of anal fissure with good results, highlighting the resolution of proctalgia in the first 48 hours.
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