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Related Experiment Videos

Fissure in ano

W H Isbister1, J Prasad

  • 1Department of Surgery, Wellington School of Medicine, New Zealand.

The Australian and New Zealand Journal of Surgery
|February 1, 1995
PubMed
Summary
This summary is machine-generated.

Gentle anal dilatation is an effective first-line treatment for anal fissures, offering a safe and successful management option. This 15-year study shows no continence issues or mortality, supporting its use.

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Area of Science:

  • Colorectal Surgery
  • Gastroenterology

Background:

  • Anal fissure is a common condition causing significant pain.
  • Conservative treatments are not always effective.

Purpose of the Study:

  • To evaluate the long-term outcomes of anal dilatation for anal fissure treatment.
  • To assess the safety and efficacy of anal dilatation as a primary management strategy.

Main Methods:

  • A 15-year retrospective review of patients undergoing anal dilatation for anal fissure.
  • Procedures included urgent, elective, and outpatient anal dilatation under general anesthesia.
  • Data collected on patient demographics, procedure types, outcomes, and complications.

Main Results:

  • 104 patients underwent 111 procedures between 1975 and 1990.

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  • No mortality or long-term continence problems were reported.
  • Seven patients required re-operation; three with Crohn's disease were successfully managed.

    • Conclusions:

    • Gentle anal dilatation is a safe and effective first-line treatment for anal fissure.
    • The procedure has a low complication rate and preserves continence.
    • It is a viable option for both acute and elective management.