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Difficult Decisions in Colorectal Surgery pp 395–401Cite as

Anal Fissure: Recurrence After Lateral Internal Sphincterotomy

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Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

Abstract

Anal fissure is a common cause of perianal pain. When patients fail medical treatments, surgical management through a lateral internal sphincterotomy (LIS) provides relief with cure rates as high as 96–100 % [1–5]. However, some patients present with recurrent anal fissures after surgical treatment. This represents a difficult problem for the patient and their colorectal surgeon. While cure of the painful anal fissure is the ultimate goal, repeat interventions come with the potential increased risk of incontinence.

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Author information

Authors and Affiliations

  1. Colorectal Surgery Program, Department of Surgery, Massachusetts General Hospital (MGH), 15 Parkman Street, ACC 460, Boston, MA, 02114, USA

    Christy Cauley & Liliana Bordeianou MD, MPH

  2. MGH Center for Pelvic Floor Disorders, Boston, MA, USA

    Liliana Bordeianou MD, MPH

Authors
  1. Christy Cauley
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  2. Liliana Bordeianou MD, MPH
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Corresponding author

Correspondence to Liliana Bordeianou MD, MPH .

Editor information

Editors and Affiliations

  1. Medical Center, University of Chicago, Chicago, Illinois, USA

    Neil Hyman

  2. Medical Center, University of Chicago, Chicago, Illinois, USA

    Konstantin Umanskiy

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Cauley, C., Bordeianou, L. (2017). Anal Fissure: Recurrence After Lateral Internal Sphincterotomy. In: Hyman, N., Umanskiy, K. (eds) Difficult Decisions in Colorectal Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-319-40223-9_35

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  • DOI: https://doi.org/10.1007/978-3-319-40223-9_35

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-40222-2

  • Online ISBN: 978-3-319-40223-9

  • eBook Packages: MedicineMedicine (R0)

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