Article
Gastroenterology & Hepatology
M. S. Najafi, A. Kazemeini, S. M. Meshkati Yazd, M. Dashtkuhi, S. M. Ahmadi Tafti, B. Behboudi, M. S. Fazeli, A. Keshvari, M. R. Keramati
Summary: This study compared two surgical methods for treating chronic anal fissures, mucosal advancement flap anoplasty (MAFA) and cutaneous advancement flap anoplasty (CAFA). A randomized clinical trial was conducted involving patients with refractory fissures, and outcomes, pain reduction, and complications were compared. Both techniques significantly reduced anal pain, and there were no significant differences in recurrence, healing duration, postoperative pain, and bleeding between the two groups. Overall, the surgical procedures were effective with minimal complications and satisfactory results.
TECHNIQUES IN COLOPROCTOLOGY
(2023)
Article
Surgery
M. Skoufou, J. H. Lefevre, A. Fels, N. Fathallah, P. Benfredj, V. de Parades
Summary: This study compared the effectiveness of fissurectomy with mucosal advancement flap anoplasty versus fissurectomy alone in the treatment of anal fissure. The conclusion was that mucosal advancement flap anoplasty does not provide any added value to fissurectomy alone.
JOURNAL OF VISCERAL SURGERY
(2023)
Article
Surgery
Beatrice D'Orazio, Girolamo Geraci, Sebastiano Bonventre, Dario Cali, Gaetano Di Vita
Summary: The study evaluated the efficacy of saving sphincter surgery for female patients with chronic anal fissure. The results showed that all wounds healed within 40 days after surgery, with low recurrence rate and some cases of temporary and low-grade post-operative fecal incontinence, which gradually improved during the follow-up period.
Article
Surgery
Edgar Hancke, Katrin Suchan, Knut Voelke
Summary: Anocutaneous advancement flap is a very safe surgical option for chronic anal fissures that preserves the anal sphincter. It provides quicker healing compared to fissurectomy and may be considered as a good first-line surgical treatment option for chronic anal fissures when medical treatments have failed.
LANGENBECKS ARCHIVES OF SURGERY
(2021)
Article
Surgery
Beatrice D'Orazio, Girolamo Geraci, Guido Martorana, Carmelo Sciume, Giovanni Corbo, Gaetano Di Vita
Summary: In this study, the long-term results of fissurectomy and anoplasty with V-Y cutaneous flap advancement associated with 30 IU of botulinum toxin injection for CAPF with IAS hypertonia were evaluated. The findings showed good outcomes at 5 years post-surgery, indicating that surgical section of the IAS is not essential for the healing process of CAPF.
UPDATES IN SURGERY
(2021)
Article
Medicine, General & Internal
Beatrice D'Orazio, Girolamo Geraci, Fausto Fama, Gloria Terranova, Gaetano Di Vita
Summary: The study evaluated whether fissurectomy and anoplasty with botulinum toxin injection improved the results of surgery alone in patients with chronic anal fissure and internal anal sphincter hypertonia. Results showed that patients who received botulinum toxin injection had better wound healing, pain relief, and lower recurrence rate compared to those who underwent surgery alone.
WORLD JOURNAL OF CLINICAL CASES
(2021)
Article
Surgery
Kinyamaniyi Kamabu, Okullo Obong Geoffrey, Sonye Magugu Kiyaka, Mamadi Owera Francis, Abdikadar Mohamud Arab, Franck Katembo Sikakulya
Summary: Anal stenosis is a rare condition following hemorrhoid surgery that can cause distress to patients. Surgical treatment is often required for severe cases. This case report highlights the complexity of managing this condition and raises questions about surgical practices for hemorrhoids.
INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS
(2023)
Article
Surgery
Beatrice D'orazio, Sebastiano Bonventre, Carmelo Sciume, Bianca Cudia, Gloria Terranova, Gaetano Di Vita, Girolamo Geraci
Summary: In this study, 108 patients with chronic anal fissure underwent surgical treatment and were followed up for at least 2 years. All wounds healed within 40 days post-surgery, and pre-operative manometric parameters returned to normal levels comparable to healthy controls after 24 months. The results suggest that fissurectomy and anoplasty with V-Y cutaneous advancement flap and pharmacological sphincterotomy is an effective procedure for the treatment of chronic anal fissure with internal anal sphincter hypertonia.
ANNALI ITALIANI DI CHIRURGIA
(2021)
Article
Surgery
T. Mohamed Mohamed, Ali A. Shafik, Haitham M. Azmy Basiouny, Mohamed W. S. Abdelwahed, Osama R. Mohamed
Summary: Comparing V-Y advancement flap with PPIS for the surgical management of patients with CAF, AAF is recommended for patients at high risk of developing anal incontinence. Although AAF had a lower healing rate (82%) compared to PPIS (96%), there were no cases of anal incontinence postoperatively in group A, while 14% in group B experienced anal incontinence. The operative time was shorter in the PPIS group, and there were no significant differences in postoperative bleeding or pain between the two groups.
EGYPTIAN JOURNAL OF SURGERY
(2022)
Article
Gastroenterology & Hepatology
Belen Herreros, Alejandro Espi, Cristina Monton Rodriguez, Eduardo Garcia-Granero, Vicente Sanchiz, Francisco L. Ferriols, Pedro Almela, Vicente Hernandez, Francisco Mora, Miguel Minguez
Summary: This study compared the effects of combined therapy with botulinum toxin injection and topical diltiazem with botulinum toxin injection alone in the treatment of chronic anal fissure. The results showed that combined therapy was not superior to botulinum toxin injection in terms of healing rates, with both options offering suboptimal outcomes. Long-term recurrence rates were high (>80% at 10 years) and could occur at any time after healing.
DISEASES OF THE COLON & RECTUM
(2021)
Article
Surgery
Marie Shella De Robles, Christopher J. Young
Summary: For patients with CAF, personalizing the treatment approach according to the risk factors for incontinence could mitigate the risk in LIS. High-risk patients should be offered BT as a preliminary procedure.
ASIAN JOURNAL OF SURGERY
(2022)
Article
Surgery
Renato Pietroletti, Andrea Ciarrocchi, Laura Lely, Vinicio Rizza
Summary: Surgical treatment of anal fissures complicated by abscess or fistula shows higher success rates with good pain control and continence outcomes in follow-up assessments.
UPDATES IN SURGERY
(2022)
Article
Surgery
Beatrice D'Orazio, Fausto Fama, Bianca Cudia, Guido Martorana, Giovanni Corbo, Gloria Terranova, Sebastiano Bonventre, Gaetano Di Vita
Summary: This study evaluated the 5-year results of fissurectomy and anoplasty with cutaneous V-Y advancement flap in patients with Chronic Anal Anterior Fissure (CAAF) without IAS hypertonia. The results showed that the procedure preserved anal continence and did not worsen pre-existing alterations. There were no new cases of anal incontinence recorded during the 5-year follow-up, and the observed recurrences healed after medical therapy.
ANNALI ITALIANI DI CHIRURGIA
(2022)
Review
Gastroenterology & Hepatology
Konstantinos Perivoliotis, Ioannis Baloyiannis, Dimitrios Ragias, Nikolaos Beis, Despoina Papageorgouli, Emmanouil Xydias, Konstantinos Tepetes
Summary: This study summarizes the role of PTNS in the treatment of CAF, showing that PTNS is an effective alternative for non-operative management. Further larger and higher quality studies are needed to confirm these findings.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2021)
Article
Medicine, General & Internal
Shahid Hussain Mirani, Dileep Kumar, Aqeel Ahmad
Summary: Comparing the outcome of lateral sphincterotomy with anal advancement flap in patients of anal fissure, the conclusion indicates that anal advancement flap is better than lateral sphincterotomy in terms of maintaining anal continence and reducing infection.
PAKISTAN JOURNAL OF MEDICAL & HEALTH SCIENCES
(2021)
