Surgery Today

, Volume 27, Issue 10, pp 975–978 | Cite as

Fissurectomy with posterior midline sphincterotomy and anoplasty (FPSA) in the management of chronic anal fissures

  • Angelo Di Castro
  • Fausto Biancari
  • Vito D'Andrea
  • Angelo Caviglia
How to Do It


Although lateral internal sphincterotomy is widely accepted as the treatment of choice for anal fissures, we report our experience of successfully treating 195 consecutive patients with posterior chronic anal fissures by performing fissurectomy with midline sphincterotomy and anoplasty (FPSA). The surgical technique is described and its indications and results are briefly discussed.

Key Words

anal fissure haemorrhoids HIV 


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Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • Angelo Di Castro
    • 1
  • Fausto Biancari
    • 2
  • Vito D'Andrea
    • 2
  • Angelo Caviglia
    • 1
  1. 1.Department of General SurgeryS. Camillo HospitalRomeItaly
  2. 2.Third Department of General SurgeryUniversity “La Sapienza”RomeItaly

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