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GIROLAMO GERACI

Long term outcomes of fissurectomy and anoplasty for chronic anterior anal fissure without hypertonia: low recurrences and continence conservation

  • Authors: D'Orazio, Beatrice; Geraci, Girolamo; Famà, Fausto; Cudia, Bianca; Martorana, Guido; Sciumé, Carmelo; Corbo, Giovanni; Terranova, Gloria; Bonventre, Sebastiano; Di Vita, Gaetano
  • Publication year: 2020
  • Type: Articolo in rivista
  • OA Link: http://hdl.handle.net/10447/522838

Abstract

Aetiopathogenesis of Chronic Anal Anterior Fissure (CAAF) remains poorly understood. Some anatomical, clinical and functional features suggest that pathophysiology may be linked to a reduced anal canal pressure. LIS appear illogical as a treatment for CAAF and the employ of techniques aiming to save the integrity of the sphincterial system appears more sensible. The aim of this study was to evaluate 5 years results of fissurectomy and anoplasty with cutaneous V-Y advancement flap in patients affected by CAAF without IAS hypertonia.