Practice of a complex approach in treatment of patients with anal fissures

Abstract

Purpose: In order to improve the follow-up results of the treatment of patients with anal fissures a complex therapeutic approach was suggested and a number of criteria defining the choice of management methods were worked out.Materials and Methods: 387 clinical cases with acute and chronic anal fissures were examined, treated and analyzed in retrospect.Results: Fissures were healed in 93,3% of patients. It proved that a differential approach to the choice of the method of treatment of patients with anal fissures allows to improve the functional results. A calibrated sphincterotomy is a necessary component of the surgical management of anal fissures in case of the sphincter hypertone. The original method of modified sphincterotomy (Patent RF #2293529) ensures the necessary conditions for a speedy recovery of operative wounds and an early rehabilitation of patients