The Efficacy of Sliding Skin Graft for the Treatment of Anal Fissure with Stenosis

• Tsuji Yoriyuki

  Coloproctology Center Takano Hospital Kumamoto Japan

• Ogata Shunji

  Coloproctology Center Takano Hospital Kumamoto Japan

• Yamada Kazutaka

  Coloproctology Center Takano Hospital Kumamoto Japan

• Takano Masahiro

  Coloproctology Center Takano Hospital Kumamoto Japan

Bibliographic Information

Other Title

• 狭窄性裂肛に対する皮膚弁移動術(SSG）の有効性

Abstract

Between February 2003 and March 2005, 75 patients underwent sliding skin graft (SSG)for the treatment of an anal fissure with stenosis. This study shows the results of the SSG performed by teaching level surgeons of our hospital.<br> 1. The results show 65 cured cases (86.7%), five non-cured cases (6.7%), four anal incontinence cases including leakage of gas (5.3%), and an unknown case (1.3%). Symptoms of incontinence disappeared in 4 cases within 3-6 months by sphincter training.<br> 2. Preoperative anal manometry showed a maximum resting pressure (MRP) of 105.5±30.7cmH₂O, a maximum sqeeze pressure (MSP) of 297.5±98.6cmH₂O, and a high pressure zone (HPZ) of 3.77±0.42cm. At one month after operation, these values changed to 91.3±30.7cmH₂O, 284.5±106.9cmH₂O, and 4.16±0.43cm, respectively. HPZ demonstrated significant increase postoperatively, whereas MRP and MSP decreased, although there were no significant differences among them.<br>

Journal

• Nippon Daicho Komonbyo Gakkai Zasshi

  Nippon Daicho Komonbyo Gakkai Zasshi 61 (6), 291-297, 2008

  The Japan Society of Coloproctology

Keywords

• 裂肛
• SSG
• 肛門内圧

Details

• CRID: 1390001204854723456
• NII Article ID: 10021941577
• NII Book ID: AN00195100
• DOI: 10.3862/jcoloproctology.61.291
• ISSN: 18829619
• ISSN: 00471801
• Web Site: https://www.jstage.jst.go.jp/article/jcoloproctology/61/6/61_6_291/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2008213150
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed