외내측 괄약근 절개술에 관한 연구

Abstract

Eisenhammer (195]), Goligher et al (1955) and morgan and Thompson (1956) leaves no doubt that the tissure underlying a fissure-in-ana is the internal sphincter. Lateral internal sphincterotomy has been advocated by several investigators as a treatment for chronic anal fissure. Eisenhammer, in 1951, was the first to recommend lateral internal sphincterotomy as the treatment of anal fissure. Parks, in 1967, suggested the use of lateral subcutaneous internal sphincterotomy for anal fissure. Investigators of internal sphincterotomy have had good results and few Complications anal Fissure is a common disease of the anus which causes an amount of suffering out of all proportion to the size of the lesion. A fissure consists essentially of a crack in the skin-lined part of the anal canal, which often shows a considerable reluctance to heal. It is usually encountered in young or middle-aged adults, but is sometimes seen at other ages, including infancy and early childhood. We collected 43 cases, which had been admitted and operated daring 1. 8 year from July, 1980 to March, 1982 in S.T. Marks Hospital in London and Seoul National University Hospital The results were as follows: 1. The indication for lateral internal sphincterotomy may be listed as follows (a) 4.7 percent (2 cases) was fissure (2) 62.8 percent (26 cases) was fissure with hemorrhoids (c) 19.2 percent (7 cases) was seletive stenosis. (d) 9.3 percent (4 cases) was True stenosis. 2. The sex ratio is approximately male to Female ratio was 4 : 6. 3. The site of anal Fissure was anterior 08.6%), posterior 000%), combined 08.6%). 4. 74.4 percent in the most high incidence from 20 years old 40 years old in age distribution. 5. The complication rate of 11. 6 percent was a. 4.7 percent (2 cases) was abscess. b. 2.3 percent 0 cases) was gas in continence c. 2.3 percent 0 cases) was faces in contience d. 2.3 percent 0 cases) was urinary retention.