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Can I read Safety and Effectiveness of Minimal Sphincterotomy in the Treatment of Female Patients with Chronic Anal Fissure on EtoBox?
Safety and Effectiveness of Minimal Sphincterotomy in the Treatment of Female Patients with Chronic Anal Fissure by Antonio Brillantino; Domenico Izzo; Francesca Iacobellis; Mauro Maglio; Maurizio Grillo; Luciano Vicenzo; Vincenzo Bottino; Adolfo Renzi is a Medicine article available to read on EtoBox.
What is Safety and Effectiveness of Minimal Sphincterotomy in the Treatment of Female Patients with Chronic Anal Fissure about?
To evaluate the outcome of a left lateral internal sphincterotomy extended for 20% of total sphincter length in female patients with chronic anal fissure, high anal resting pressure and normal preoperative anal continence. Between January 2014 and January 2018 all the female patients with chronic anal fissure showing failure of medical therapy, perfect anal continence (Cleveland Clinic Florida incontinence score = 0) and high anal resting pressure underwent a lateral internal sphincterotomy extended for 1/5 of total lateral sphincter length, basing on the preoperative measurements by three-dimensional endoanal ultrasound. Postoperative follow-up included clinical assessment at 3, 6 and 12 months associated with manometric and ultrasonographic evaluation at 6 months. Thirty-two patients, [median age 45 (range 19-68)] were included and, of these, 2 (6.2%) were lost to follow-up. At 6 month follow-up success rate was 93.3% (28/30) and continence score was 0 in all the patients. Two patients (6.2%) with poor outcome showed incomplete sphincterotomy at EAUS and underwent re-surgery. At three-dimensional endoanal ultrasound the median length of sphincterotomy was 6 mm (5-8.2). At 12 mont
Who reads Safety and Effectiveness of Minimal Sphincterotomy in the Treatment of Female Patients with Chronic Anal Fissure?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Antonio Brillantino; Domenico Izzo; Francesca Iacobellis; Mauro Maglio; Maurizio Grillo; Luciano Vicenzo; Vincenzo Bottino; Adolfo Renzi
- Publisher
- Springer Science and Business Media LLC
- Published
- 2020
- Language
- EN
- Field
- Medicine (Health Sciences)