Intersphincteric lateral internal sphincterotomy technique for chronic anal fissure
10.3760/cma.j.cn115455-20190624-00456
- VernacularTitle:经内外括约肌间肛门内括约肌侧切术在治疗慢性肛裂中的应用
- Author:
Zhangyu CAI
1
;
Yanping QING
;
Tong LI
;
Weiming WU
Author Information
1. 宁波大学医学院附属医院肛肠外科 315000
- From:
Chinese Journal of Postgraduates of Medicine
2020;43(4):343-346
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To describe a new technique for chronic anal fissure surgery aimed at minimal invasion and reducing pain, and to evaluate the preliminary results concerning non-healing and intact anal function.Methods:A prospective observational study in twenty-five chronic anal fissure patients treated by Intersphincteric Lateral Internal Sphincterotomy (ILIS) technique from February to June 2018 in the Affiliated Hospital of Medical School of Ningbo University were conducted.Results:Chronic anal fissure in twenty-five patients healed primarily (96%, 24/25). There was one non-healing case. The mean healing time was(14.66 ± 5.63) d. Pain scores of 1, 3 and 5 d after surgery were (2.32 ± 0.82), (1.66 ± 0.74), (1.22 ± 0.63) scores. None had disturbance in clinical anal continence. Wexner score was 0.Conclusions:The early outcome of the ILIS technique is quite impressive. This technique is minimally invasive, with shorter healing time and less pain. It has the potential to become a viable option for chronic anal fissure surgery.
