Lateral internal sphincter in the treatment of 130 cases of chronic anal fissure.docVIP

 PAGE \* MERGEFORMAT 5 Lateral internal sphincter in the treatment of 130 cases of chronic anal fissure [Keywords:] chronic anal fissure; sphincter lateral surgery; clinical observation Chronic anal fissure anal fissure is a recurring problem, there are ulcers, basal color pale, often accompanied by hypertrophy of anal papillae, sentinel hemorrhoid complications such as clinical treatment of a variety of surgical. We in July 2004 ~ May 2006 the use of lateral internal sphincter in the treatment of chronic anal fissure 130 patients with satisfactory outcome, are reported below. A clinical data 1.1 General Information This group of 130 patients, male 42 cases, female 88 cases; aged 16 to 46 years of age; course of disease from 3 months to 10 years. Gap in the post-middle position 112 cases, 12 cases of pre-middle position, the other point and 6 cases, 105 cases of concurrent sentinel hemorrhoid, anal 95 cases of papillary hypertrophy, subcutaneous fistula in 6 cases. All patients had pain, pain, time is 0.5 ~ 3h; 105 cases with bleeding after then, 96 cases with constipation. 1.2 surgical Caudal anesthesia, lithotomy position, routine disinfection shop towel, clean the anal canal, at 9 o’clock position from the anal margin of 1.5cm Department for a radial incision of about 0.5cm deep Dapi, the left index finger into anal for guidance, the right hand curved mosquito’s pliers holding the skin and subcutaneous blunt separation along the anal sphincter to the lower edge, and then from the lateral incision parallel to the anal sphincter ibid high degree of separation, and single out within the sphincter, clamp off after the break, and then press the index finger incision at the same time expand anus 3 ~ 4min, reach anal relaxation, to accommodate the four means the degrees to be confirmed after the incision without bleeding, simple suture the skin incision a needle, the combined anal papillae hypertrophy, Sentinel hemorrhoids are removed together with a tower