Abstract
The definition, incidence, and conservative treatment of anal fissure have been adequately discussed elsewhere as have the other pathologies covered in this volume; thus, with few exceptions, these topics are not discussed here. This leaves more space for the real theme of this book: the prevention and cure of complications associated with surgical therapy for proctological disease.
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Suggested Readings
Abcarian H (1980) Surgical correction of chronic anal fissure: results of lateral internal sphincterotomy vs. fissurectomy-midline sphincterotomy. Dis Colon Rectum 23:31–36
Aigner F, Conrad F (2008) Fissurectomy for treatment of chronic anal fissures. Dis Colon Rectum 51:1163
Algaithy ZK (2008) Botulinum toxin versus surgical sphincterotomy in females with chronic anal fissure. Saudi Med J 29:1260–1263
Altomare DF, Rinaldi M, Troilo VL et al (2005) Closed ambulatory lateral internal sphincterotomy for chronic anal fissures. Tech Coloproctol 9:248–249
Altomare DF, Binda GA, Canuti S et al (2011) The management of patients with primary chronic anal fissure: a position paper. Tech Coloproctol 15 (in press)
Argov S, Levandovsky O (2000) Open lateral sphincterotomy is still the best treatment for chronic anal fissure. Am J Surg. 179:201–202
Arroyo A, Pérez F, Serrano P et al (2004) Open versus closed lateral sphincterotomy performed as an outpatient procedure under local anesthesia for chronic anal fissure: prospective randomized study of clinical and manometric long term results. J Am Coll Surg 199:361–367
Arthur JD, Makin CA, El-Sayed TY et al (2008) A pilot comparative study of fissurectomy/diltiazem and fissurectomy/botulinum toxin in the treatment of chronic anal fissure. Tech Coloproctol 12:331–336
Badejo OA (1984) Outpatient treatment of fissure-in-ano. Trop Geogr Med 36:367–369
Baraza W, Boereboom C, Shorthouse A et al (2008) The long-term efficacy of fissurectomy and botulinum toxin injection for chronic anal fissure in females. Dis Colon Rectum 51:239–243
Boccasanta P, Venturi M, Stuto A et al (2004) Stapled transanal rectal resection for outlet obstruction: a prospective, multicenter trial. Dis Colon Rectum 47:1285–1296
Boschetto S, Giovannone M, Tosoni M et al (2004) Hydropneumatic anal dilation in conservative treatment of chronic anal fissure: clinical outcomes and randomized comparison with topical nitroglycerin. Tech Coloproctol 8:89–92
Brisinda G, Cadeddu F, Mazzeo P et al (2007) Botulinum toxin A for the treatment of chronic anal fissure. Expert Rev Gastroenterol Hepatol 1:219–228
Brown CJ, Dubreuil D, Santoro L et al (2007) Lateral internal sphincterotomy is superior to topical nitroglycerin for healing chronic anal fissure and does not compromise long-term fecal continence: six-year follow-up of a multicenter, randomized, controlled trial. Dis Colon Rectum 50:442–448
Cerdán FJ, Ruiz de León A, Azpiroz F et al (1982) Anal sphincteric pressure in fissure-in-ano before and after lateral internal sphincterotomy. Dis Colon Rectum 25:198–201
Chambers W, Sajal R, Dixon A (2010) V–Y advancement flap as first-line treatment for all chronic anal fissures. Int J Colorectal Dis 25:645–648
Cho DY (2005) Controlled lateral sphincterotomy for chronic anal fissure. Dis Colon Rectum 48:1037–1041
Collins EE, Lund JN (2007) A review of chronic anal fissure management. Tech Coloproctol 11:209–223
Conaghan P, Farouk R (2010) Anal fissure healing and sphincter preservation can be successfully achieved in most patients with chronic anal fissure. ASCRS Meeting Abstracts, Dis Colon Rectum 53:587
Cundall JD, Gardiner A, Laden G et al (2003) Use of hyperbaric oxygen to treat chronic anal fissure. Br J Surg 90:452–453
Elsebae MM (2007) A study of fecal incontinence in patients with chronic anal fissure: prospective, randomized, controlled trial of the extent of internal anal sphincter division during lateral sphincterotomy. World J Surg 31:2052–2057
Farouk R, Monson JR, Duthie GS (1997) Technical failure of lateral sphincterotomy for the treatment of chronic anal fissure: a study using endoanal ultrasonography. Br J Surg 84:84–85
Favetta U, Amato A, Interisano A et al (1996) Clinical, manometric and sonographic assessment of the anal sphincters. A comparative prospective study. Int J Colorectal Dis 11:163–166
Favetta U, Amato A, Interisano A et al (1994) Comparative evaluation of anal resting tone and sphincter relaxation by means of digital exploration, anorectal manometry and anal ultrasound. Tech Coloproctol 3:14–15
Filingeri V, Gravante G (2005) A prospective randomized trial betwen subcutaneous lateral internal sphincterotomy with radiofrequency bistoury and conventional Parks’ operation in the treatment of anal fissures. Eur Rev Med Pharmacol Sci 9:175–178
Garcea G, Sutton C, Mansoori S et al (2003) Results following conservative lateral sphincteromy for the treatment of chronic anal fissures. Colorectal Dis 5:311–314
García-Granero E, Sanahuja A, García-Botello SA et al (2009) The ideal lateral internal sphincterotomy: clinical and endosonographic evaluation following open and closed internal anal sphincterotomy. Colorectal Dis 11:502–7
Giordano P, Gravante G, Grondona P et al (2009) Simple cutaneous advancement flap anoplasty for resistant chronic anal fissure: a prospective study. World J Surg 33:1058–1063
Goligher JC (1965) An evaluation of internal sphicterotomy and simple sphincter-stretching in the treatment of fissure-inano. Surg Clin North Am 45:1299–1304
Gupta PJ (2005) A study of suppurative pathologies associated with chronic anal fissures. Tech Coloproctol 9:104–107
Gupta PJ, Kalaskar S (2003) Removal of hypertrophied anal papillae and fibrous anal polyp increases patient satisfaction after anal fissure surgery. Tech Coloproctol 155–158
Hancke E, Rikas E, Suchan K et al (2010) Dermal flap coverage for chronic anal fissure: lower incidence of anal incontinence compared to lateral internal sphincterotomy after long-term follow-up. Dis Colon Rectum 53:1563–1568
Herold A, Lehur PA, Matzel KE, O’Connell PR (2008) Coloproctology (series: European Manual of Medicine). Springer, pp 45–51
Jensen SL, Lund F, Nielsen OV et al (1984) Lateral subcutaneous sphincterotomy versus anal dilatation in the treatment of fissure in ano in outpatients: a prospective randomised study. Br Med J 289:528–530
Kang GS, Kim BS, Choi PS et al (2008) Evaluation of healing and complications after lateral internal sphincterotomy for chronic anal fissure: marginal suture of incision vs. open left incision: prospective, randomized, controlled study. Dis Colon Rectum 51:329–333
Katsinelos P, Papaziogas B, Koutelidakis I et al (2006) Topical 0.5% nifedipine vs. lateral internal sphincterotomy for the treatment of chronic anal fissure: long-term follow-up. Int J Colorectal Dis 21:179–183
Khubchandani IT, Reed JF (1989) Sequelae of internal sphincterotomy for chronic fissure in ano. Br J Surg 76:431–434
Kiyak G, Korukluoğlu B, Kuşdemir A et al (2009) Results of lateral internal sphincterotomy with open technique for chronic anal fissure: evaluation of complications, symptom relief, and incontinence with long-term follow-up. Dig Dis Sci 54:2220–2224
Leong A (2005) Internal sphincterotomy versus rotation flap to treat chronic anal fissures. Asian J Surg 28:192
Leong AF, Seow-Choen F (1995) Lateral sphincterotomy compared with anal advancement flap for chronic anal fissure. Dis Colon Rectum 38:69–71
Libertiny G, Knight JS, Farouk R (2002) Randomised trial of topical 0.2% glyceryl trinitrate and lateral internal sphincterotomy for the treatment of patients with chronic anal fissure: long-term follow-up. Eur J Surg 168:418–421
Liratzopoulos N, Efremidou EI, Papageorgiou MS et al (2006) Lateral subcutaneous internal sphincterotomy in the treatment of chronic anal fissure: our experience. J Gastrointestin Liver Dis 15:143–147
Lolli P, Malleo G, Rigotti G (2010) Treatment of chronic anal fissures and associated stenosis by autologous adipose tissue transplant: a pilot study. Dis Colon Rectum 53:460–466
Lubowski D (2008) Topical therapy is first line treatment for chronic anal fissure because of the risk of incontinence with sphincterotomy. Dis Colon Rectum 51:1157–1158
Lysy J, Israeli E, Levy S et al (2006) Long-term results of “chemical sphincterotomy” for chronic anal fissure: a prospective study. Dis Colon Rectum 49:858–864
Maturanza M, Maritato F, Costanzo A et al (1997) Combined outpatient surgical-cryotherapeutic treatment of anal fissures. Our experience. Minerva Chir 52:393–395
McMurrick P, Polglase A, Binns K et al (2010) Prospective Comparison Of Sphincterotomy Vs Botox Injection For Anal Fissure. ASCRS Meeting Abstracts, Dis Colon Rectum 53:588
Menteş BB, Ege B, Leventoglu S et al (2005) Extent of lateral internal sphincterotomy: up to the dentate line or up to the fissure apex? Dis Colon Rectum 48:365–370
Menteş BB, Güner MK, Leventoglu S et al (2008) Fine-tuning of the extent of lateral internal sphincterotomy: spasm-controlled vs. up to the fissure apex. Dis Colon Rectum 51:128–133
Menteş BB, Irkörücü O, Akin M et al (2003) Comparison of botulinum toxin injection and lateral internal sphincterotomy for the treatment of chronic anal fissure. Dis Colon Rectum 46:232–237
Menteş BB, Tezcaner T, Yilmaz U et al (2006) Results of lateral internal sphincterotomy for chronic anal fissure with particular reference to quality of life. Dis Colon Rectum 49:1045–1051
Miliacca C, Gagliardi G, Pescatori M (2010) The ‘Draw-the-Family Test’ in the preoperative assessment of patients with anorectal diseases and psychological distress: a prospective controlled study. Colorectal Dis 12:792–798
Mishra R, Thomas S, Maan MS et al (2005) Topical nitroglycerin versus lateral internal sphincterotomy for chronic anal fissure: prospective, randomized trial. ANZ J Surg 75:1032–1035
Mousavi SR, Sharifi M, Mehdikhah Z (2009) A comparison between the results of fissurectomy and lateral internal sphincterotomy in the surgical management of chronic anal fissure. J Gastrointest Surg 13:1279–1282
Nelson R (2005) Operative procedures for fissure in ano. Cochrane Database Syst Rev 18:CD002199
Orsay C, Rakinic J, Perry WB et al (2004) Practice parameters for the management of anal fissures (revised). Dis Colon Rectum 47:2003–2007
Ortiz H, Marzo J, Armendariz P et al (2005) Quality of life assessment in patients with chronic anal fissure after lateral internal sphincterotomy. Br J Surg. 92:881–885
Pascual M, Parés D, Pera M et al (2008) Variation in clinical, manometric and endosonographic findings in anterior chronic anal fissure: a prospective study. Dig Dis Sci 53:21–26
Patti R, Famà F, Barrera T et al (2010) Fissurectomy and anal advancement flap for anterior chronic anal fissure without hypertonia of the internal anal sphincter in females. Colorectal Dis 12:1127–1130
Pelta AE, Davis KG, Armstrong DN (2007) Subcutaneous fissurotomy: a novel procedure for chronic fissure-in-ano. a review of 109 cases. Dis Colon Rectum 50:1662–1667
Pérez-Miranda M, Robledo P, Alcalde M et al (1996) Endoscopic anal dilatation for fissure-in-ano: a new outpatient treatment modality. Rev Esp Enferm Dig 88:265–272
Pernikoff BJ, Eisenstat TE, Rubin RJ et al (1994) Reappraisal of partial lateral internal sphincterotomy. Dis Colon Rectum 37:1291–1295
Pescatori M, Ayabaca SM, Cafaro D (2002) Tailored sphincterotomy or fissurectomy and anoplasty? Dis Colon Rectum 45:1563–1564; author reply 1564
Pescatori M, Interisano A, Basso L et al (1995) Management of perianal Crohn’s disease. Results of a multicenter study in Italy. Dis Colon Rectum 38:121–124
Pescatori M, Maria G, Anastasio G (1991) “Spasm related” internal sphincterotomy in the treatment of anal fissure. Coloproctology 13:20–22
Pescatori M, Mattana C (2008) Fissures. In: Coloproctology, Herold A, Lehur P-A, Matzel KE, O’Connell PR Eds; pp 45–51
Poisson J (1997) Anal fissure. Can J Surg 20:417–421
Ram E, Alper D, Stein GY et al (2005) Internal anal sphincter function following lateral internal sphincterotomy for anal fissure: a long-term manometric study. Ann Surg 242:208–211
Renzi A, Brusciano L, Pescatori M et al (2005) Pneumatic balloon dilatation for chronic anal fissure: a prospective, clinical, endosonographic, and manometric study. Dis Colon Rectum 48:121–126
Renzi A, Izzo D, Di Sarno G et al (2008) Clinical, manometric, and ultrasonographic results of pneumatic balloon dilatation vs. lateral internal sphincterotomy for chronic anal fissure: a prospective, randomized, controlled trial. Dis Colon Rectum 51:121–127
Rosa G, Lolli P, Piccinelli D et al (2005) Calibrated lateral internal sphincterotomy for chronic anal fissure. Tech Coloproctol. 9:127–131; discussion 31–32
Saad AM, Omer A (1992) Surgical treatment of chronic fissure in ano: a prospective randomized study. East Afr Med J 69:613–615
Sajid MS, Vijaynagar B, Desai M et al (2008) Botulinum toxin vs glyceryltrinitrate for the medical management of chronic anal fissure: a meta-analysis. Colorectal Dis 10:541–546
Simkovic D, Smejkal K, Hladík P (2000) Assessment of sphincterotomy results in patients treated for anal fissure. Rev Esp Enferm Dig 92:399–404
Speakman CT, Burnett SJ, Kamm MA et al (1991) Sphincter injury after anal dilatation demonstrated by anal endosonography. Br J Surg 78:1429–1430
Srinivasaiah N, Laden G, Duthie GS et al (2008) The long-term efficacy of fissurectomy and botulinum toxin injection for chronic anal fissure in females. Dis Colon Rectum 51:1589
Usatoff V, Polglase AL (1995) The longer term results of internal anal sphincterotomy for anal fissure. Aust N Z J Surg 65:576–578
Vafai M, Mann CV (1981) Closed lateral internal anal sphincterotomy without removal of sentinel pile for fissure-in-ano. Coloproctology 3:91–93
Walfisch S, Silberstein E (1998) Balloon anal dilatation for anal fissure. Tech Coloproctol 2:73–75
Wiley M, Day P, Rieger N et al (2004) Open vs. closed lateral internal sphincterotomy for idiopathic fissure-in-ano: a prospective, randomized, controlled trial. Dis Colon Rectum 47:847–852
Yakovlev A, Karasev SA, Dolgich OY (2011) Sacral nerve stimulation: a novel treatment of chronic anal fissure. Dis Colon Rectum 54:324–327
Yucel T, Gonullu D, Oncu M et al (2009) Comparison of controlled-intermittent anal dilatation and lateral internal sphincterotomy in the treatment of chronic anal fissures: a prospective, randomized study. Int J Surg 7:228–231
Zbar AP, Pescatori M (2004) Functional outcome following lateral internal anal sphincterotomy for chronic anal fissure. Colorectal Dis 6:210–211
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Pescatori, M. (2012). Anal Fissure. In: Prevention and Treatment of Complications in Proctological Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-2077-1_1
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DOI: https://doi.org/10.1007/978-88-470-2077-1_1
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