The Treatment of Severe Anal Fissure by Anal Stretch

Abstract

The methods of surgical treatment for anal fissure are anal stretch, subcutaneous sphincterotomy, sliding skin gcaft, etc. Some investigators reporeed that anal stretch was not a useful technique for anal for anal fissure. But 3, 142 cases of anal fissure were treated by anal stretch in our outpatients clinic. In 817 cases of these patients, severe anal fissure with anal polyp and skin tag were treated by the same method. And some cases with anal fistel were operated on by the laying open method and anal stretch in outpatients clinic, too.
In cases of relapse we recommend anal stretch again. We propose anal streech gently performed under caudal anesehesia. And in our follow up study, we didn't find any patient complaining about soiling and incontinence.