Practice of a complex approach in treatment of patients with anal fissures
Abstract
Purpose: In order to improve the follow-up results of the treatment of patients with anal fissures a complex therapeutic approach was suggested and a number of criteria defining the choice of management methods were worked out.
Materials and Methods: 387 clinical cases with acute and chronic anal fissures were examined, treated and analyzed in retrospect.
Results: Fissures were healed in 93,3% of patients. It proved that a differential approach to the choice of the method of treatment of patients with anal fissures allows to improve the functional results. A calibrated sphincterotomy is a necessary component of the surgical management of anal fissures in case of the sphincter hypertone. The original method of modified sphincterotomy (Patent RF #2293529) ensures the necessary conditions for a speedy recovery of operative wounds and an early rehabilitation of patients.
About the Authors
V. S. Groshilin
Rostov State Medical University
Russian Federation
Russian Federation
Surgical Pathology Department № 4 of Professional and Training Development Department
29 Nakhichevansky st., Rostov-on-Don, 344022
M. F. Cherkasov
Rostov State Medical University
Russian Federation
Russian Federation
Surgical Pathology Department № 4 of Professional and Training Development Department
29 Nakhichevansky st., Rostov-on-Don, 344022
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Review
For citations:
Groshilin V.S., Cherkasov M.F. Practice of a complex approach in treatment of patients with anal fissures. Medical Herald of the South of Russia. 2011;(1):63-66. (In Russ.)
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