EC Gastroenterology and Digestive System

Introduction

Anal fissure (Interpretation of the disease according to ICD-10) is one of the most common diseases of the rectum. It accounts for 10 to 15% of all coloproctological diseases (20 to 23 people per 1000 adults). Most often, the disease is diagnosed at the age of 30 to 50 years, causing its social significance. The incidence among men and women does not differ. Both foreign and domestic literature describes modern methods of treating chronic anal fissure [1,2]. Sobrado Júnior (2019) CW Marti L (2020) D’Orazio (2020) conducted a study of patients with chronic anal fissure who underwent excision of chronic anal fissure with defect closure using anoplasty. All patients underwent fissurectomy and anoplasty with V advancement of the skin flap lying in the gynecological position under spinal or general anesthesia [4].

1. J Beaty and M Shashidharan. “Anal Fissure”. Clinics in Colon and Rectal Surgery 29 (2016): 30-37.
2. D Stewart., et al. “Clinical practice guideline for the management of anal fissures”. Diseases of the Colon and Rectum 1 (2017): 7-14.
3. PA Boland., et al. “Management options for chronic anal fissure: a systematic review of randomised controlled trials”. The International Journal of Colorectal Disease 10 (2020): 1807-1815.
4. CW Sobrado Júnior., et al. “Anoplasty with skin tag flap for the treatment of chronic anal fissure”. Revista do Colégio Brasileiro de Cirurgiões 46 (2019): e20192181.