Abstract
Resting anal canal pressure was measured in 15 patients with anal fissure before and after lateral internal sphincterotomy. This pressure was found to be significantly higher in these subjects (mean 95±23.08 mm HG) than in the control group (mean 66.10±14.28 mm Hg) before surgery (P<0.005). After surgery, a normal anal canal pressure was produced. The authors maintain that anal canal spasm is responsible for chronicity of anal fissures.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Eisenhammer S. The evaluation of the internal anal sphincterotomy operation with special reference to anal fissure. Surg Gynecol Obstet 1959;109:583–90.
Duthie HL, Bennett RC. Anal sphincteric pressure in fissure in ano. Surg Gynecol Obstet 1964;119:19–21.
Ray JE, Penfold JC, Gathright JB Jr, Roberson SH. Lateral subcutaneous internal anal sphincterotomy for anal fissure. Dis Colon Rectum 1974;17:139–44.
Graham-Stewart CW, Greenwood RK, Lloyd-Davies RW. A review of 50 patients with fissure in ano. Surg Gynecol Obstet 1961;113:445–8.
Nothmann BJ, Schuster MM. Internal anal sphincter derangement with anal fissures. Gastroenterology 1974;67:216–20.
Hancock BD. Measurement of anal pressure and motility. Gut 1976;17:645–51.
Gutiérrez JG, Oliai A, Chey WY. Manometric profile of the internal anal sphincter in man (abstr). Gastroenterology 1975;68:907.
Hancock BD. The internal sphincter and anal fissure. Br J Surg 1977;64:92–5.
Arabi Y, Alexander-Williams J, Keighley MR. Anal pressures in hemorrhoids and fissure. Am J Surg 1977;134:608–10.
Bennett RC, Duthie HL. The functional importance of the internal anal sphincter. Br J Surg 1964;51:355–7.
Cerdán FJ, Ruiz de León A, Garrido A, Azpiroz F, Martín J. Tratamiento de la fisura anal mediantes esfinterotomia lateral interna: nuestra experiencia. Rev Esp Enferm Apar Dig 1981;59:343–50.
Rudd WW. Lateral subcutaneous internal sphincterotomy for chronic anal fissure, an outpatient procedure. Dis Colon Rectum 1975;18:319–23.
Abcarian H. Surgical correction of chronic anal fissure: results of lateral internal sphincterotomy vs. fissurectomy-midline sphincterotomy. Dis Colon Rectum 1980;23:31–6.
Author information
Authors and Affiliations
About this article
Cite this article
Cerdán, F.J., de León, A.R., Azpiroz, F. et al. Anal sphincteric pressure in fissure-in-ano before and after lateral internal sphincterotomy. Dis Colon Rectum 25, 198–201 (1982). https://doi.org/10.1007/BF02553100
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02553100