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World Journal of Surgery

Published in:

01-04-2011

Mucosal Advancement Flap Anoplasty for Chronic Anal Fissure Resistant to Conservative Therapy

Authors: M. Ouaïssi, U. Giger, I. Sielezneff, K. A. Yawovi, A. Pamela, N. Pirro, B. Sastre

Published in: World Journal of Surgery | Issue 4/2011

Abstract

Background

Sphincter-sparing procedures are increasingly advocated in the treatment of chronic anal fissures (CAF) resistant to conservative management. Herein, we report about our results with sphincter-sparing transanal mucosal advancement flap anoplasty (MAAP) to treat CAF.

Patients and Methods

The present study was a retrospective single-center analysis of patients in whom conservative management of CAF failed and who subsequently underwent MAAP between January 2003 and December 2008.

Results

A total of 26 patients with a median age of 46.5 years (range: 17–79 years) had undergone MAAP after suffering with CAF for a median period of 9 months (range: 4–36 months). Surgery was well tolerated in all patients. One patient developed a perianal abscess at the operative site 3 weeks after MAAP, which required excision. At 2, 12, and 24 months follow-up, all patients were free of pain with no fissure recurrence or any worsening of incontinence.

Conclusions

Mucosal advancement flap anoplasty might be another sphincter-sparing treatment option in patients suffering from CAF. To draw final conclusions about the value of MAAP in the treatment of CAF, more solid data are required.

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Title: Mucosal Advancement Flap Anoplasty for Chronic Anal Fissure Resistant to Conservative Therapy
Authors: M. Ouaïssi
U. Giger
I. Sielezneff
K. A. Yawovi
A. Pamela
N. Pirro
B. Sastre
Publication date: 01-04-2011
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 4/2011
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-011-0959-0

At a glance: The STEP trials

Springer Medicine

Mucosal Advancement Flap Anoplasty for Chronic Anal Fissure Resistant to Conservative Therapy

Abstract

Background

Patients and Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Patients and Methods

Results

Conclusions

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