The long-term results of mechanical anal sphincteroclasis

The long-term results of mechanical anal sphincteroclasis

The long-term results of 36 patients operated of manual dilatation of the anus are presented. Chronic anal fissure or benign anal stricture have been treated by this procedure in the years '80s. Patients have been in part clinically examined and the other called up by phone interview. Average f...

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Bibliographic Details
Published in:Minerva chirurgica Vol. 54; no. 1-2; p. 27
Main Authors: Coda, A, Mattio, R, Benedetto, C, Filippa, C, Ferri, F, Ramellini, G
Format: Journal Article
Language:Italian
Published: Italy 01-01-1999
Subjects:
Adult
Aged
Aged, 80 and over
Anal Canal - surgery
Dilatation - instrumentation
Dilatation - methods
Female
Fissure in Ano - surgery
Follow-Up Studies
Humans
Interviews as Topic - methods
Male
Middle Aged
Postoperative Complications - epidemiology
Time Factors
Treatment Outcome
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Summary:The long-term results of 36 patients operated of manual dilatation of the anus are presented. Chronic anal fissure or benign anal stricture have been treated by this procedure in the years '80s. Patients have been in part clinically examined and the other called up by phone interview. Average follow-up is 78 months. Nobody has been re-operated for the same cause, but 2 patients underwent sphincter sparing operation for rectal cancer. Twenty-five patients (72%) completely recovered, 5 (12.5%) complain sometimes from sudden anal pain and 3 (8%) report minor incontinence problems. These long-term results do not confirm disastrous conclusions reported by other authors in the literature, even if the incidence of continence disorders is higher than in anal sphincterotomies.
ISSN:0026-4733