Enver İLHAN, Mehmet YILDIRIM, Alper Fırat POLAT

348 KRONİK ANAL FİSSÜR OLGULARININ TEDAVİ VE SONUÇLARI

1998-2004 yılları arasında kronik anal fissürlü 348 hastanın cerrahi tedavi sonuçları incelendi. Hastalarımızın 22'sine anal dilatasyon, 76'sına fissürektomi, 250'sine lateral internal sfinkterotomi uygulandı. Ameliyat sonrası dönemde 12 %3.4 hastada ciddi olmayan kanama, 8 %2.2 hastada idrar retansiyonu görüldü. Anal dilatasyon yapılan 5 %22.7 hastada, lateral internal sfinkterotomi yapılan 11 %4.4 hastada geçici inkontinans görüldü. Anal dilatasyon yapılan hastalarda %27.2, fissürektomi yapılan hastalarda %14.4, lateral internal sfinkterotomi yapılan hastalarda %1.6 nüks görüldü. Bu sonuçlar literatürde yer alan çalışmalara uymaktadır ve lateral internal sfinkterotomi kronik anal fissürün cerrahi tedavisinde seçkin yöntemdir

Anahtar Kelimeler:

Kronik anal fissür, lateral internal sfinkterotomi

TREATMENT AND RESULTS OF 348 CHRNIC ANAL FISSURE CASES

In this article the result of surgery treatment of 348 patient with chronic anal fissure between 1998-2004 are reported. Anal dilatation, fissurectomy and lateral internal sphincterotomy was performed for 22, 76 and 250 patients respectively. In the postoperative period nonserious bleeding was found in 12 %3.4 patients. Urinery retansion was occured in 8 % 2.2 patients.Temporary incontinence was occured in 5 %22.7 patients treated with anal dilatation and 11 %4.4 patients treated with lateral internal sphincterotomy . Recurrence of anal fissure were seen in 6 %27.2 patients treated with dilatation, in 11 %14.4 patients treated fissurectomy and in 4 %1.6 patients treated with lateral internal sphincterotomy. Our results support the findings of other studies in the literature. In conclusion lateral internal sphincterotomy operation is avaluable choice in treatment of chronic anal fissure

Keywords:

Chronic anal fissure, lateral internal sphincterotomy,

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