Anocutaneous advancement flap provides a quicker cure than fissurectomy in surgical treatment for chronic anal fissure—a retrospective, observational study - Summary - MDSpire
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Anocutaneous advancement flap provides a quicker cure than fissurectomy in surgical treatment for chronic anal fissure—a retrospective, observational study
To evaluate the efficacy of anocutaneous advancement flap (AAF) as a first-line surgical treatment for chronic anal fissure (CAF) compared to fissurectomy (FIS) specifically.
Key Findings:
Patients treated with AAF showed a higher rate of symptom resolution and complete wound healing at 1 month compared to those treated with FIS, with specific rates to be included.
Early complications were minimal, and long-term recurrence rates were comparable between AAF and FIS.
Interpretation:
The AAF technique offers a quicker recovery and healing time for patients with chronic anal fissures compared to traditional fissurectomy, potentially reducing the risk of complications associated with sphincterotomy.
Limitations:
The study is retrospective and lacks a structured follow-up.
Potential biases in patient selection and data collection may affect the results.
Conclusion:
Anocutaneous advancement flap is a promising first-line surgical option for chronic anal fissures, providing faster healing and symptom relief compared to fissurectomy.
