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Precise anorectal sphincter dilatation—Its role in the therapy of anal fissures

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Diseases of the Colon & Rectum

Abstract

For the past 20 years, internal anal sphincterotomy has generally been considered to be the standard operation for an anal fissure. We sought an alternative form of treatment because of the wound complications inherent in this operation. Anal dilatation, precisely performed with a Parks' retractor opened to 4.8 cm or with a 40mm rectosigmoid balloon, has been found to cure successfully the fissure in 93 percent and 94 percent, respectively, of each group and to be associated with fewer complications.

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Read at the meeting of The American Society of Colon and Rectal Surgeons, Boston, Massachusetts, May 12 to 17, 1991.

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Sohn, N., Eisenberg, M.M., Weinstein, M.A. et al. Precise anorectal sphincter dilatation—Its role in the therapy of anal fissures. Dis Colon Rectum 35, 322–327 (1992). https://doi.org/10.1007/BF02048108

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  • DOI: https://doi.org/10.1007/BF02048108

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