Fissurectomy with or without anoplasty for chronic anal fissures is a valid alternative to lateral internal sphincterotomy: a retrospective cohort study of 475 patients
Our study showed that fissurectomy, whether performed with or without anoplasty, was a highly effective surgical option for treating CAFs, achieving an overall success rate of 92.8% without significant impairment of continence and with a low complication rate. Further randomized prospective trials are needed to confirm this finding. Interestingly, fissurectomy with anoplasty seems to allow for better short-term outcomes in terms of postoperative pain and recovery time compared with fissurectomy alone.
Authors
- Francesco Tomassini (ORCID: https://orcid.org/0000-0002-0445-5489)
- Marta Goglia (ORCID: https://orcid.org/0000-0002-3763-8847)
- Gaetano Gallo (ORCID: https://orcid.org/0000-0003-1066-4671)
- Antonio Crucitti (ORCID: https://orcid.org/0000-0003-3496-4185)
- Marco La Torre (ORCID: https://orcid.org/0000-0002-7051-6120)
- Alessandro Micarelli (ORCID: https://orcid.org/0000-0002-0495-5272)
- Veronica De Simone (ORCID: https://orcid.org/0000-0003-1934-3233)
- Simone Maria Tierno
Institutions
- Agostino Gemelli University Polyclinic (IT)
- Ospedale Cristo Re (IT)
- Associazione Italiana Vulvodinia Onlus (IT)
- International Flame Research Foundation (IT)
- Sapienza University of Rome (IT)
Publication Details
- Journal
- Techniques in Coloproctology
- Published
- 2025-04-21
- DOI
- https://doi.org/10.1007/s10151-025-03129-z
- Citations
- 2
- Primary Topic
- Anorectal Disease Treatments and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 4.01