Details

Autor(en) / Beteiligte

• Ouaïssi, M.
• Giger, U.
• Sielezneff, I.
• Yawovi, K. A.
• Pamela, A.
• Pirro, N.
• Sastre, B.

Titel

Mucosal Advancement Flap Anoplasty for Chronic Anal Fissure Resistant to Conservative Therapy

Ist Teil von

• World journal of surgery, 2011-04, Vol.35 (4), p.900-904

Ort / Verlag

New York: Springer-Verlag

Erscheinungsjahr

2011

Quelle

Wiley Online Library Journals Frontfile Complete

Beschreibungen/Notizen

• Background Sphincter-sparing procedures are increasingly advocated in the treatment of chronic anal fissures (CAF) resistant to conservative management. Herein, we report about our results with sphincter-sparing transanal mucosal advancement flap anoplasty (MAAP) to treat CAF. Patients and Methods The present study was a retrospective single-center analysis of patients in whom conservative management of CAF failed and who subsequently underwent MAAP between January 2003 and December 2008. Results A total of 26 patients with a median age of 46.5 years (range: 17–79 years) had undergone MAAP after suffering with CAF for a median period of 9 months (range: 4–36 months). Surgery was well tolerated in all patients. One patient developed a perianal abscess at the operative site 3 weeks after MAAP, which required excision. At 2, 12, and 24 months follow-up, all patients were free of pain with no fissure recurrence or any worsening of incontinence. Conclusions Mucosal advancement flap anoplasty might be another sphincter-sparing treatment option in patients suffering from CAF. To draw final conclusions about the value of MAAP in the treatment of CAF, more solid data are required.