V. Surgical Treatment of Anal Fissure
Because inflammatory changes more progress and various complicated lesions are caused as anal fissure becomes chronic, accurate diagnosis of the complicated lesions shoud be made and treatment shoud be selected. There are many reports on surgical treatments and each surgical treatment is evaluated d...
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| Published in | Nippon Daicho Komonbyo Gakkai Zasshi Vol. 30; no. 5; pp. 410 - 414,469 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
The Japan Society of Coloproctology
1977
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| Online Access | Get full text |
| ISSN | 0047-1801 1882-9619 |
| DOI | 10.3862/jcoloproctology.30.410 |
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| Abstract | Because inflammatory changes more progress and various complicated lesions are caused as anal fissure becomes chronic, accurate diagnosis of the complicated lesions shoud be made and treatment shoud be selected. There are many reports on surgical treatments and each surgical treatment is evaluated definitely. However, there still remain method's, such as the laternal sphincterotomy, which requires further investigation. Many cases are cured easily by the conservative techniques which remove spasm of the internal sphincter, and therefore, it doesn't seem to be necessary to decide only one specific method. However, it can be said that the sliding skin graft is the best radical plastic opreation for the progressive cases. |
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| AbstractList | Because inflammatory changes more progress and various complicated lesions are caused as anal fissure becomes chronic, accurate diagnosis of the complicated lesions shoud be made and treatment shoud be selected. There are many reports on surgical treatments and each surgical treatment is evaluated definitely. However, there still remain method's, such as the laternal sphincterotomy, which requires further investigation. Many cases are cured easily by the conservative techniques which remove spasm of the internal sphincter, and therefore, it doesn't seem to be necessary to decide only one specific method. However, it can be said that the sliding skin graft is the best radical plastic opreation for the progressive cases. |
| Author | Sumikoshi, Y. Ishida, H. Sumie, M. Sakata, H. Okada, M. |
| Author_xml | – sequence: 1 fullname: Ishida, H. organization: Colo-proctology Center, Social Insuarance Central Hospital – sequence: 1 fullname: Sumie, M. organization: Colo-proctology Center, Social Insuarance Central Hospital – sequence: 1 fullname: Sumikoshi, Y. organization: Colo-proctology Center, Social Insuarance Central Hospital – sequence: 1 fullname: Sakata, H. organization: Colo-proctology Center, Social Insuarance Central Hospital – sequence: 1 fullname: Okada, M. organization: Colo-proctology Center, Social Insuarance Central Hospital |
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| References | 4) Duthie, H. L., et al. : Anal sphincteric pressure in fissure-in-ano, Surg. Gynecol. Obstet. 119: 19-21, 1964. 7) 隅越幸男ほか: 裂肛の手術手技, 外科治療, 26: 386-396, 1972. 11) Ray, J. E., et al. : Lateral subcutaneous internal anal sphincterotomy for anal fissure. Dis. Colon & Rectum, 17 : 139-144, 1974. 12) Hawley, P. R.: The treatment of chronic fissure-in-ano. Brit. J. Surg. 56 : 915-918, 1969. 15) Hughes, E. S. R. : Anal ffssure. Brit. M. J. 10 : 803-805, 1953. 10) Abcarian, H. : Lateral internal sphincterotomy. Surg. Clin. North. Am, 55: 143-150, 1975. 13) Notaras, M. J. : The treatment of anal fiss-ure by lateral subctaneous internal sphincterotomy-a technique and results. Brit. J. Surg. 58 : 96-100, 1971. 2) Recamier : Quoted by Goodsall, D. H. and, Miles, W. E : Diseases of the anus and rectum. London, Longmans, Green and Co., 1900, Partl, 1311. 9) Magee, H. R., et al. : Ieternal anal sphincterotomy as an out-patient operation. Gut, 7: 190-193, 1966. 1) 高野正博ほか: 裂肛の発生因子による分類, 臨床外科, 27 : 107-111, 1972. 3) Watts, J. M., et al.: Stretching of anal sphincter in treatment of fissure-in-ano. Brit. Med. J., 2 : 342-343, 1964. 5) Goligher, J. C. : An evaluation of internal sphincterotomy and simple sphincter-stretching in the treatment fissure-in-ano. Surg. Clin. N. Amer. 45: 1299-1304, 1965. 6) Gabriel, W. B : Principles and practice of rectal surgery. Fourth edition. London, Lewis, 1948. 8) Benett. R. C. et al. : Results of internal sphincterotomy for anal fissure, Brit. Med. J. 62: 1500-1503, 1962. 14) Hoffman, D. C., et al. : Lateral subcutaneous internal sphincterotomy in treatment of anal fissure. Brit. Med. J. 3 : 673-675, 1970. |
| References_xml | – reference: 3) Watts, J. M., et al.: Stretching of anal sphincter in treatment of fissure-in-ano. Brit. Med. J., 2 : 342-343, 1964. – reference: 1) 高野正博ほか: 裂肛の発生因子による分類, 臨床外科, 27 : 107-111, 1972. – reference: 14) Hoffman, D. C., et al. : Lateral subcutaneous internal sphincterotomy in treatment of anal fissure. Brit. Med. J. 3 : 673-675, 1970. – reference: 13) Notaras, M. J. : The treatment of anal fiss-ure by lateral subctaneous internal sphincterotomy-a technique and results. Brit. J. Surg. 58 : 96-100, 1971. – reference: 5) Goligher, J. C. : An evaluation of internal sphincterotomy and simple sphincter-stretching in the treatment fissure-in-ano. Surg. Clin. N. Amer. 45: 1299-1304, 1965. – reference: 11) Ray, J. E., et al. : Lateral subcutaneous internal anal sphincterotomy for anal fissure. Dis. Colon & Rectum, 17 : 139-144, 1974. – reference: 9) Magee, H. R., et al. : Ieternal anal sphincterotomy as an out-patient operation. Gut, 7: 190-193, 1966. – reference: 4) Duthie, H. L., et al. : Anal sphincteric pressure in fissure-in-ano, Surg. Gynecol. Obstet. 119: 19-21, 1964. – reference: 10) Abcarian, H. : Lateral internal sphincterotomy. Surg. Clin. North. Am, 55: 143-150, 1975. – reference: 8) Benett. R. C. et al. : Results of internal sphincterotomy for anal fissure, Brit. Med. J. 62: 1500-1503, 1962. – reference: 15) Hughes, E. S. R. : Anal ffssure. Brit. M. J. 10 : 803-805, 1953. – reference: 7) 隅越幸男ほか: 裂肛の手術手技, 外科治療, 26: 386-396, 1972. – reference: 12) Hawley, P. R.: The treatment of chronic fissure-in-ano. Brit. J. Surg. 56 : 915-918, 1969. – reference: 2) Recamier : Quoted by Goodsall, D. H. and, Miles, W. E : Diseases of the anus and rectum. London, Longmans, Green and Co., 1900, Partl, 1311. – reference: 6) Gabriel, W. B : Principles and practice of rectal surgery. Fourth edition. London, Lewis, 1948. |
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| Snippet | Because inflammatory changes more progress and various complicated lesions are caused as anal fissure becomes chronic, accurate diagnosis of the complicated... |
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| StartPage | 410 |
| Title | V. Surgical Treatment of Anal Fissure |
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