Anal fissure: Diagnostic and therapeutic considerations with special reference to internal lateral sphincterotomy

Fisura anal: Consideraciones diagnósticas y terapéuticas con especial referencia a la esfinterotomía lateral interna

Berrudez Villegas, Jorge - Kamaid, Emil

Resumen:

The authors analyzed a series of 80 cases and revised bibliography concluding that i t is essential to astablish the diagnosis of idiopathic anal fissure, discarding associated pathologv, in particular posterior abcesses. As elective treatment they favour. subcutaneous internal lateral sphyncterotomy by reason of its higher perccntagc of cures with fewer complications and sequella. In the series consideredthere was a single recurrencv (1.25%) which resulted from diagnostical error, with no sequellae, consequently the authors recommcnd this procedure specifying indications and contraindications.


Luego de analizar una experiencia de 80 casos y, revisando la bibliorp-afía, los auto res subrayan la necesidad del diagnostico de fisura anal idiopática, descartando patología asociada, sobre todo el absceso posterior. Prefieren como tratamiento de elección la esfinterotomía lateral interna subcutánea, considerando que se obtiene un mayor porcentaje de curaciones con menores complicaciones y secuelas.En la serie presentada hubo una sola recidiva (1,25 % ) por error diagnóstico, sin secuelas, por lo cual los autores recomiendan el procedimiento precisando sus indicaciones y contraindicaciones.


Detalles Bibliográficos
1982
enfermedades del ano
anal diseases
Español
Sociedad de Cirugía del Uruguay
Revista Cirugía del Uruguay
https://revista.scu.org.uy/index.php/cir_urug/article/view/3266
Acceso abierto
Resumen:
Sumario:The authors analyzed a series of 80 cases and revised bibliography concluding that i t is essential to astablish the diagnosis of idiopathic anal fissure, discarding associated pathologv, in particular posterior abcesses. As elective treatment they favour. subcutaneous internal lateral sphyncterotomy by reason of its higher perccntagc of cures with fewer complications and sequella. In the series consideredthere was a single recurrencv (1.25%) which resulted from diagnostical error, with no sequellae, consequently the authors recommcnd this procedure specifying indications and contraindications.