Treatment of anal fissure by lateral subcutaneous sphincterotomy should be under general anaesthesia

Author:

Keighley M R B1,Greca F1,Nevah E1,Hares M1,Alexander-Williams J1

Affiliation:

1. The General Hospital, Birmingham

Abstract

Summary Seventy-one consecutive patients with acute anal fissure were randomly allocated to treatment by lateral subcutaneous sphincterotomy under either local anaesthesia (n=34) or general anaesthesia (n=37). Four months after treatment there were 18 patients with a recurrent or persistent anal fissure, 17 had had local anaesthesia (50 per cent) and only one had a recurrent fissure after general anaesthesia (3 per cent). These results indicate that if lateral subcutaneous sphincterotomy is used for treatment of anal fissure the operation should be performed under a general anaesthetic.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference6 articles.

1. The evaluation of the internal anal sphincterotomy operation with special reference to anal fissure;Eisenhammer;Surg. Gynecol. Obstet.,1959

2. Subcutaneous lateral internal sphincterotomy for anal fissure;Millar;Br. J. Surg.,1971

3. The treatment of anal fissure by lateral subcutaneous internal sphincterotomy—a technique and results;Notarus;Br. J. Surg.,1971

4. Anal pressures in haemorrhoids and anal fissure;Arabi;Am. J. Surg.,1977

5. The internal sphincter and anal fissure;Hancock;Br. J. Surg.,1977

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