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Anal sphincteric pressure in fissure-in-ano before and after lateral internal sphincterotomy

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Diseases of the Colon & Rectum

Abstract

Resting anal canal pressure was measured in 15 patients with anal fissure before and after lateral internal sphincterotomy. This pressure was found to be significantly higher in these subjects (mean 95±23.08 mm HG) than in the control group (mean 66.10±14.28 mm Hg) before surgery (P<0.005). After surgery, a normal anal canal pressure was produced. The authors maintain that anal canal spasm is responsible for chronicity of anal fissures.

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Authors and Affiliations

  1. Department of Surgery, San Carlos Hospital, Faculty of Medicine, University of Madrid, Spain

    F. Javier Cerdán M.D., Antonio Ruiz de León M.D., Fernando Azpiroz M.D., Jose Martín M.D. & José Luis Balibrea M.D.

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  1. F. Javier Cerdán M.D.
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  2. Antonio Ruiz de León M.D.
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  3. Fernando Azpiroz M.D.
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  4. Jose Martín M.D.
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  5. José Luis Balibrea M.D.
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Cerdán, F.J., de León, A.R., Azpiroz, F. et al. Anal sphincteric pressure in fissure-in-ano before and after lateral internal sphincterotomy. Dis Colon Rectum 25, 198–201 (1982). https://doi.org/10.1007/BF02553100

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  • DOI: https://doi.org/10.1007/BF02553100

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