The role of internal sphincter in chronic anal fissures
作者:
Herand Abcarian,
Shanmugam Lakshmanan,
Don Read,
Peter Roccaforte,
期刊:
Diseases of the Colon & Rectum
(OVID Available online 1982)
卷期:
Volume 25,
issue 6
页码: 525-528
ISSN:0012-3706
年代: 1982
出版商: OVID
关键词: Fissure, anal;Sphincter, internal;Sphincterotomy, lateral internal;Fissurectomy;Overshoot phenomenon;Manometric studies;Pressures, resting
数据来源: OVID
摘要:
&NA;Changes in anal sphincteric manometric pressures in response to rectal distention were measured in eight patients with chronic anal fissures and were compared with the of ten controls. No statistically different resting pressures were noted between the two groups. Overshoot phenomenon was more commonly seen in patients with fissure. There were no differences in the anal sphincteric pressures after lateral internal sphincterotomy (LIS) or fissurectomy midline sphincterotomy (FMS). All fissures healed postoperatively, irrespective of the surgical technique (LIS or FMS) or the pressure readings. It can be concluded that the therapeutic effect of sphincterotomies might at least in part be due to anatomic widening of the anal canal rather than to decreased resting pressures of the internal sphincter.
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