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Lateral internal sphincterotomy is the preferred method of surgery for persons with chronic anal fissures, and is generally used when medical therapy has failed. [1] It is associated with a lower rate of side effects than older techniques such as posterior internal sphincterotomy and anoplasty, [3] and has also been shown to be superior to topical glyceryl trinitrate (GTN 0.2% ointment) in ...
An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute, they are painful after defecation, [ 1 ] but with chronic fissures, pain intensity often reduces and becomes cyclical. [ 2 ]
Anorectal abscess (also known as an anal/rectal abscess or perianal/perirectal abscess) is an abscess adjacent to the anus. [1] Most cases of perianal abscesses are sporadic, though there are certain situations which elevate the risk for developing the disease, such as diabetes mellitus , Crohn's disease , chronic corticosteroid treatment and ...
LIFT technique is the novel modified approach through the intersphincteric plane for the treatment of fistula-in-ano, known as LIFT (ligation of intersphincteric fistula tract) procedure. LIFT procedure is based on secure closure of the internal opening and removal of infected cryptoglandular tissue through the intersphincteric approach.
According to a study on patients undergoing operations for cryptoglandular anal fistulas, 92.9% of fistulas within 1.5 cm followed the Goodsall rule, whereas only 47.4% followed it beyond 3.6 cm. [3] In situations where there are multiple anal fistulae, the course would be similar to that of posterior-opening fistulae because of branching and ...
General surgery. Anal fistula is a chronic abnormal communication between the anal canal and the perianal skin. [1] An anal fistula can be described as a narrow tunnel with its internal opening in the anal canal and its external opening in the skin near the anus. [2] Anal fistulae commonly occur in people with a history of anal abscesses.
Proctalgia fugax. Specialty. General surgery. Proctalgia fugax, a variant of levator ani syndrome, is a severe, episodic pain in the regions of the rectum and anus. [ 1 ] It can be caused by cramping of the levator ani muscle, particularly in the pubococcygeal part. [ 2 ]
Hemorrhoids. Hemorrhoids are normal vascular cushions found in the anal canal. 15% of a human's continence mechanism is attributed to the hemorrhoidal plexus. When a person coughs, for instance, the hemorrhoids will engorge with blood and increase one's ability to hold gas and stool. They are termed internal and external based on their ...