Lateral Internal Sphincterotomy versus V-Y Anoplasty in Treatment of Chronic Anal Fissure: a Comparative Trial Based on Manometry Results

Abstract Background: Conservative treatment of chronic anal fissure (CAF) is the first line of treatment. Patients who fail conservative treatment are offered surgical treatment in the form of lateral internal sphincterotomy (LIS) or V-Y anoplasty.Objective: This prospective study aimed to compare L...

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Autores principales:	Marwa Sobhi, Sameh Hany Emile, Ahmed AbdelMawla, Mohamed Youssef, Sabry Mahmoud
Formato:	article
Lenguaje:	EN
Publicado:	Shiraz University of Medical Sciences 2019
Materias:	chronic anal fissure lateral internal sphincterotomy v-y anoplasty manometry Medicine R
Acceso en línea:	https://doaj.org/article/65469d675dd34227b22e8114d94ed807
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spelling	oai:doaj.org-article:65469d675dd34227b22e8114d94ed8072021-11-14T08:42:24ZLateral Internal Sphincterotomy versus V-Y Anoplasty in Treatment of Chronic Anal Fissure: a Comparative Trial Based on Manometry Results2783-2430https://doaj.org/article/65469d675dd34227b22e8114d94ed8072019-09-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_45848_03f47c79782fc86aa1a8e332be9461d4.pdfhttps://doaj.org/toc/2783-2430Abstract Background: Conservative treatment of chronic anal fissure (CAF) is the first line of treatment. Patients who fail conservative treatment are offered surgical treatment in the form of lateral internal sphincterotomy (LIS) or V-Y anoplasty.Objective: This prospective study aimed to compare LIS and V-Y anoplasty in the treatment of CAF based on the baseline resting anal pressure of patients.Methods: Female patients with CAF were investigated with anal manometry. Patients with elevated resting anal pressure were treated with LIS and patients with normal or low resting anal pressure were treated with V-Y anoplasty. Data about healing of anal fissure, reduction in pain score, continence disturbance, and complications were recorded on follow-up.Results: Twenty-four female patients of a mean age of 37.6 years were included to this study. Sixteen patients underwent LIS (group I) and 8 underwent V-Y flap (group II). Both groups achieved comparable time to complete healing. Both groups showed significant decrease in pain score at 3 months of follow-up (Group I: 6.1±0.85 to 0.93±0.7, pMarwa SobhiSameh Hany EmileAhmed AbdelMawlaMohamed YoussefSabry MahmoudShiraz University of Medical Sciencesarticlechronic anal fissurelateral internal sphincterotomyv-yanoplastymanometryMedicineRENIranian Journal of Colorectal Research, Vol 7, Iss 3, Pp 1-6 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	chronic anal fissure lateral internal sphincterotomy v-y anoplasty manometry Medicine R
spellingShingle	chronic anal fissure lateral internal sphincterotomy v-y anoplasty manometry Medicine R Marwa Sobhi Sameh Hany Emile Ahmed AbdelMawla Mohamed Youssef Sabry Mahmoud Lateral Internal Sphincterotomy versus V-Y Anoplasty in Treatment of Chronic Anal Fissure: a Comparative Trial Based on Manometry Results
description	Abstract Background: Conservative treatment of chronic anal fissure (CAF) is the first line of treatment. Patients who fail conservative treatment are offered surgical treatment in the form of lateral internal sphincterotomy (LIS) or V-Y anoplasty.Objective: This prospective study aimed to compare LIS and V-Y anoplasty in the treatment of CAF based on the baseline resting anal pressure of patients.Methods: Female patients with CAF were investigated with anal manometry. Patients with elevated resting anal pressure were treated with LIS and patients with normal or low resting anal pressure were treated with V-Y anoplasty. Data about healing of anal fissure, reduction in pain score, continence disturbance, and complications were recorded on follow-up.Results: Twenty-four female patients of a mean age of 37.6 years were included to this study. Sixteen patients underwent LIS (group I) and 8 underwent V-Y flap (group II). Both groups achieved comparable time to complete healing. Both groups showed significant decrease in pain score at 3 months of follow-up (Group I: 6.1±0.85 to 0.93±0.7, p
format	article
author	Marwa Sobhi Sameh Hany Emile Ahmed AbdelMawla Mohamed Youssef Sabry Mahmoud
author_facet	Marwa Sobhi Sameh Hany Emile Ahmed AbdelMawla Mohamed Youssef Sabry Mahmoud
author_sort	Marwa Sobhi
title	Lateral Internal Sphincterotomy versus V-Y Anoplasty in Treatment of Chronic Anal Fissure: a Comparative Trial Based on Manometry Results
title_short	Lateral Internal Sphincterotomy versus V-Y Anoplasty in Treatment of Chronic Anal Fissure: a Comparative Trial Based on Manometry Results
title_full	Lateral Internal Sphincterotomy versus V-Y Anoplasty in Treatment of Chronic Anal Fissure: a Comparative Trial Based on Manometry Results
title_fullStr	Lateral Internal Sphincterotomy versus V-Y Anoplasty in Treatment of Chronic Anal Fissure: a Comparative Trial Based on Manometry Results
title_full_unstemmed	Lateral Internal Sphincterotomy versus V-Y Anoplasty in Treatment of Chronic Anal Fissure: a Comparative Trial Based on Manometry Results
title_sort	lateral internal sphincterotomy versus v-y anoplasty in treatment of chronic anal fissure: a comparative trial based on manometry results
publisher	Shiraz University of Medical Sciences
publishDate	2019
url	https://doaj.org/article/65469d675dd34227b22e8114d94ed807
work_keys_str_mv	AT marwasobhi lateralinternalsphincterotomyversusvyanoplastyintreatmentofchronicanalfissureacomparativetrialbasedonmanometryresults AT samehhanyemile lateralinternalsphincterotomyversusvyanoplastyintreatmentofchronicanalfissureacomparativetrialbasedonmanometryresults AT ahmedabdelmawla lateralinternalsphincterotomyversusvyanoplastyintreatmentofchronicanalfissureacomparativetrialbasedonmanometryresults AT mohamedyoussef lateralinternalsphincterotomyversusvyanoplastyintreatmentofchronicanalfissureacomparativetrialbasedonmanometryresults AT sabrymahmoud lateralinternalsphincterotomyversusvyanoplastyintreatmentofchronicanalfissureacomparativetrialbasedonmanometryresults
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Lateral Internal Sphincterotomy versus V-Y Anoplasty in Treatment of Chronic Anal Fissure: a Comparative Trial Based on Manometry Results

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