Sharma, A.; Singh, M.; Gardner, A.; Duthie, G. S.
April 2004
Gut;Apr2004 Supplement 3, Vol. 53, pA66
Academic Journal
The article presents a study on the use of a rotational flap in the treatment of anal fissures. Sphincterotomy and anal dilatation have fallen out of favor due to the risk of incontinence. Island flaps have been proposed for the treatment of anal fissures but 60-70% of the flap donor sites breakdown with complications. A local rotational flap from perianal skin was used to fill the fissure defect. 21 patients so treated have been followed up to determine fissure healing and incidence of donor site breakdown.


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