Fissurectomy combined with anoplasty and injection of botulinum toxin in treatment of anterior chronic anal fissure with hypertonia of internal anal sphincter: A pilot study

Techniques in Coloproctology

Volumn 14, Issue 1, 2010, Pages 31-36

  Patti, R ^a   Fama F ^a   Tornambe A ^a   Asaro, G ^a   Di Vita, G ^a  

^a UNIVERSITY OF PALERMO   (Italy)

Author keywords

Advancement flap; Anterior chronic anal fissure; Botulinum toxin; Fissurectomy

Indexed keywords

BOTULINUM TOXIN;

ADULT; ANOPLASTY; ANORECTAL PRESSURE; ANUS FISSURE; ANUS SPHINCTER; ANUS SURGERY; ARTICLE; CLINICAL ARTICLE; FEMALE; FISSURECTOMY; FOLLOW UP; HUMAN; INFECTION; MALE; MUSCLE HYPERTONIA; POSTOPERATIVE COMPLICATION; PREOPERATIVE PERIOD; WOUND HEALING;

ADOLESCENT; ADULT; BOTULINUM TOXIN TYPE A; COHORT STUDIES; DEFECATION; FEMALE; FISSURE IN ANO; HUMANS; INJECTIONS, INTRAMUSCULAR; MALE; MIDDLE AGED; MUSCLE HYPERTONIA; NEUROMUSCULAR AGENTS; PILOT PROJECTS; RECOVERY OF FUNCTION; SURGICAL FLAPS; TREATMENT OUTCOME; YOUNG ADULT;

EID: 77949422780     PISSN: 11236337     EISSN: None     Source Type: Journal    
DOI: 10.1007/s10151-009-0562-7     Document Type: Article

References (46)

1. Pescatori M, Interisano A (1995) Annual report of the Italian coloproctology unit. Tech Coloproctol 3:29-30
2. Lund JN, Scholefield JH (1996) Aetiology and treatment of anal fissure. Br J Surg 83:1335-1344
3. Patti R, Famà F, Barrera T, Migliore G, Di Vita G (2009) Fissurectomy and anoplasty for chronic anterior anal fissure without hypertonia of the internal anal sphincter in females. Colorectal Dis 19
4. Pascual M, Pera M, Courtier R et al (2007) Endosonographic and manometric evaluation of internal anal sphincter in patients with chronic anal fissure and its correlation with clinical outcome after topical glyceryl trinitrate therapy. Int J Colorectal Dis 22:963-967
5. Bove A, Balzano A, Perrotti P et al (2004) Different anal pressure profiles in patients with anal fissure. Tech Coloproctol 8:151-156
6. Nelson R (2005) Operative procedure for fissure in ano. Cochrane Database Syst Rev 2:18
7. Ayantunde AA, Debrah SA (2006) Current concepts in anal fissures. World J Surg 30:2246-2260
8. Jones OM, Ramalingam T, Lindsey I, Cunningham C, George BD, Mortensen NJ (2005) Digital rectal examination of sphincter pressures in chronic anal fissure is unreliable. Dis Colon Rectum 48:349-352
9. Gupta PJ, Kalaskar S (2003) Removal of hypertrophied anal papillae and fibrous anal polyps increases patient satisfaction after anal fissure surgery. Tech Coloproctol 7:155-158
10. Brisinda G, Cadeddu F, Brandara F et al (2008) Botulinum toxin for recurrent anal fissure following lateral internal sphincterotomy. Br J Surg 95:774-778
11. Huskisson EC (1982) Measurement of pain. J Rheumatol 9:768-769
12. Pescatori M, Anastasio G, Bottini C, Mentasti A (1992) New grading and scoring for anal incontinence. Evaluation of 335 patients. Dis Colon Rectum 35:482-487
13. Thompson WG, Longstreth GF, Drossman DA et al (1999) Functional bowel disorders and functional abdominal pain. Gut 45(2):II 43-II 47
14. Regadas FS, Murad-Regadas SM, Lima DM et al (2007) Anal canal anatomy showed by three-dimensional anorectal ultrasonography. Surg Endosc 21:2207-2211
15. Keck JO, Staniunas RJ, Coller JA, Barrett RC, Oster ME (1995) Computer-generated profiles of the anal canal in patients with anal fissure. Dis Colon Rectum 38:72-79
16. Ellis CN (2004) Anterior levatorplasty for the treatment of chronic anal fissures in females with a rectocele: a randomized, controlled trial. Dis Colon Rectum 47:1170-1173
17. Yoshioka K, Matsui Y, Yamada O et al (1991) Physiologic and anatomic assessmentof patients with rectocele. Dis Colon Rectum 34:704-708
18. Nyam DC, Wilson RG, Stewart KJ et al (1995) Island advancement flaps in the management of anal fissures. Br J Surg 82:326-328
19. Jenkins JT, Urie A, Molloy RG (2008) Anterior anal fissures are associated with occult sphincter injury and abnormal sphincter function. Colorectal Dis 10:280-285
20. Kamm MA (1998) Faecal incontinence. BMJ 316:528-532
21. Shouten WR, Briel JW, Auwerda JJ (1994) Relationship between anal pressure and anoderm blood flow. The vascular pathogenesis of anal fissures. Dis Colon Rectum 37:664-669
22. 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
23. Baraza W, Boereboom C, Shorthouse A, Brown S (2008) The long-term efficacy of fissurectomy and botulinum toxin injection for chronic anal fissure in females. Dis Colon Rectum 51:239-243
24. 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
25. Sohn N, Weinstein MA (2008) Subcutaneous fissurotomy included a disguised and unappreciated anal spincter dilatation. Dis Colon Rectum 51:1168
26. Aigner F, Conrad F (2008) Fissurectomy for treatment of chronic anal fissures. Dis Colon Rectum 51:1163
27. Meier zu Eissen J (2001) Chronic anal fissure, therapy. Kongressbd Dtsch Ges Chir Kongr 118:654-656
28. 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
29. Bode WE, Culp CE, Spencer RJ, Beart RW Jr (1984) Fissurectomy with superficial midline sphincterotomy. A viable alternative for the surgical correction of chronic fissure/ulcer-in-ano. Dis Colon Rectum 27:93-95
30. Abcarian H (1980) Surgical correction of chronic anal fissure: results of lateral internal sphincterotomy vs. fissurectomy-midline sphincterotomy. Dis Colon Rectum 23:31-36
31. Abcarian H, Lakshmanan S, Read DR, Roccaforte P (1982) The role of internal sphincter in chronic anal fissures. Dis Colon Rectum 25:525-528
32. Di Castro A, Biancari F, D'Andrea V, Caviglia A (1997) Fissurectomy with posterior midline sphincterotomy and anoplasty (FPSA) in the management of chronic anal fissures. Surg Today 27:975-978
33. Melange M, Colin JF, Van Wymersch T, Vanheuverzwyn R (1992) Anal fissure: correlation between symptoms and manometry before and after surgery. Int J Colorectal Dis 7:108-111
34. Engel AF, Eijsbouts QA, Balk AG (2002) Fissurectomy and isosorbide dinitrate for chronic fissure in ano not responding to conservative treatment. Br J Surg 89:79-83
35. Brisinda G, Cadeddu F, Brandara F et al (2008) Botulinum toxin for recurrent anal fissure following lateral internal sphincterotomy. Br J Surg 95:774-778
36. Lindsey I, Cunningham C, Jones OM, Francis C, Mortensen NJ (2004) Fissurectomy-botulinum toxin: a novel sphincter-sparing procedure for medically resistant chronic anal fissure. Dis Colon Rectum 47:1947-1952
37. Arthur JD, Makin CA, El-Sayed TY, Walsh CJ (2008) A pilot comparative study of fissurectomy/diltiazem and fissurectomy/botulinum toxin in the treatment of chronic anal fissure. Tech Coloproctol 12:331-336
38. Scholz T, Hetzer FH, Dindo D, Demartines N, Clavien PA, Hahnloser D (2007) Long-term follow-up after combined fissurectomy and Botox injection for chronic anal fissures. Int J Colorectal Dis 22:1077-1081
39. Ruiz-Moreno F (1968) Sliding mucocutaneous flap for the treatment of anal ulcer. Dis Colon Rectum 11:285-288
40. Collins EE, Lund JN (2007) A review of chronic anal fissure management. Tech Coloproctol 11:209-223
41. Patti R, Famà F, Tornambè A, Restivo M, Di Vita G (2010) Early results of fissurectomy and advancement flap for resistant chronic anal fissure without hypertonia of the internal anal sphincter. Am Surg 76
42. Kenefick NJ, Gee AS, Durdey P (2002) Treatment of resistant anal fissure with advancement anoplasty. Colorectal Dis 4:463-466
43. Porrett T, Knowles CH, Lunniss PJ (2003) Creation of a treatment protocol for nurse-led management of anal fissure. Colorectal Dis 5:63-72
44. 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
45. Singh M, Sharma A, Gardiner A, Duthie GS (2005) Early results of a rotationalflap to treat chronic anal fissures. Int J Colorectal Dis 20:339-342
46. Samson RB, Stewart WR (1970) Sliding skin grafts in the treatment of anal fissures. Dis Colon Rectum 13:372-375