Download PDF
CC BY-NC-ND 4.0 · Journal of Coloproctology 2018; 38(02): 132-136
DOI: 10.1016/j.jcol.2018.02.001
Original Article

Evaluation of outcomes in fissurectomy and V–Y advancement flap for the treatment of chronic anal fissure

Avaliação de desfechos na fissurectomia e retalho de avanço em V–Y para o tratamento de fissura anal crônica
Fakhrosadat Anaraki
a   Shahid Beheshti University of Medical Sciences, Taleghani Hospital Research Development Unit, Colorectal Division of Surgical Ward, Tehran, Iran
,
Tahereh Foroughifar
b   Tehran University of Medical Sciences, Baharloo Hospital, Department of Pelvic Floor Surgery, Tehran, Iran
,
Seyed Hossein Laleh
a   Shahid Beheshti University of Medical Sciences, Taleghani Hospital Research Development Unit, Colorectal Division of Surgical Ward, Tehran, Iran
,
Omid Etemad
c   Tehran University of Medical Sciences, Imam Khomeini Hospital Complex, Plastic & Reconstructive Surgery Ward, Tehran, Iran
› Author Affiliations
› Further Information
  PDF Download Permissions and Reprints

Abstract

Chronic anal fissure is difficult to treat. Surgery is usually recommended in the case of drug therapeutic failure. Fecal incontinence in patients with weaker sphincters (multipara older patients with a history of pelvic surgery etc.) is a major reason for rejecting surgery. Such these patients should be underwent fissurectomy and V–Y advancement flap in which sphincterotomy is not required. In this prospective study, we determined the outcomes and complications of fissurectomy and V–Y advancement flap in both groups of patients with low and high anal sphincter tones.

Resumo

A fissura anal crônica tem tratamento difícil. A cirurgia geralmente é recomendada em caso de falha do tratamento medicamentoso. A incontinência fecal em pacientes com esfíncteres mais fracos (pacientes multíparas mais velhas com história de cirurgia pélvica etc.) é uma razão importante para a rejeição da cirurgia. Esses pacientes devem ser submetidos a fissurectomia e retalho de avanço em V–Y no qual a esfincterotomia não é necessária. Neste estudo prospectivo, determinamos os desfechos e complicações da fissurectomia e o retalho de avanço em V–Y em ambos os grupos de pacientes com tônus baixo e alto do esfíncter anal.

Keywords

Fissurectomy - V–Y advancement flap - Chronic anal fissure

Palavras-chave

Fissurectomia - Retalho de avanço em V–Y - Fissura anal crônica


Publication History

Received: 15 November 2017

Accepted: 03 February 2018

Article published online:
08 March 2021

© 2018. Sociedade Brasileira de Coloproctologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil