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Anal fissure wound sealant

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  • 14.07.2019
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Treating common benign anal diseases has evolved towards more outpatient procedures with better outcome. However, minimizing post-procedure morbidities such as pain and the avoidance incontinence remain the most significant concerns. We introduce some controversies and highlight the developments in current surgical practice for the treatment of common anal problems. Benign anal conditions are common and may pose troublesome physical, mental and social ailments to patients. There are numerous surgical techniques and non-surgical treatment used to treat this group of disease and most of the modalities are safe and effective. The main concern of treating anal conditions are the after-treatment undesirable pain and sphincter dysfunction which often pose a significant challenges to the attending physicians.
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Anal Fissure and Fistula

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Controversies in the treatment of common anal problems

There are probably a few million Americans who suffer the pain and even bleeding from an anal fissure. What makes it tougher for me to talk about, is that I had a very painful anal fissure problem for three years. After all, the same kind of glue is used by people to close fissures, small tears, in their thumbs or fingers. My older son was a professional drummer who would get tears on his thumbs and fingers, and using a Crazy Glue type of glue allowed him to control the pain, let the fissures heal, and not miss any concerts. It is used by surgeons as well, in the sterile form of the glue.
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Controversies in the treatment of common anal problems

Transperineal sonographic anal sphincter complex evaluation in chronic anal fissures. The purpose of this study was to assess the role of transperineal sonography in assessment of pathologic changes to the anal sphincter complex in patients with chronic anal fissures. We conducted a prospective case-control study of consecutive patients of any age and both sexes with chronic anal fissures who presented to a colorectal clinic between January and August group A and 50 healthy volunteers group B.
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General Surgery pp Cite as. Internal sphincter spasm or hypertrophy is the etiologic factor increased anal resting pressure at manometry. Overshoot phenomenon in response to defecation results in typical post cibal pain lasting from minutes to hours diagnostic of fissure. Surgical treatment of choice is lateral internal sphincterotomy LIS which is less likely to cause keyhole deformity seen after midline sphincterotomy.
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