RAGADE ANALE

DEFINITION: Ulceration in the form of slit dermoepidermal , located at the bottom of a fold radiata anus.

ETIOLOGY : The causes , still in discussion , include venous stasis and constipation ( that seems more a consequence than a real cause). Most frequently is found in females ( 20/40 aa). Currently regarded as psychological causes.

SYMPTOMS: Anal pain characteristic that appears after the evacuation , quickly reaches its maximum intensity and normally stops after a few hours to retake the next defecation.

DIAGNOSIS : The diagnosis is essentially clinical (Visit Specialist) , does not require specific instrumental tests useful.

TREATMENT: Currently, the treatment of choice is local application of nitroglycerin ointment 0.4% every 12 hours 3/6 weeks. In case of failure will be considered the surgery of partial lateral internal sfinteromiotomia sec. Parks executable under local anesthesia.

COMPLICATIONS: Medical therapy with nitroglycerin can cause headache or orthostatic hypotension.

SURGERY FOR anal fissure

When drug therapy / food / lifestyle does not achieve the desired success or painful symptoms makes it incompatible normal activities can be used for surgery.

Indications for surgery

Whenever , after making use of pharmacological therapies / food / lifestyle for the time and in an appropriate manner the painful component remains unbearable.

Results

The aim of the intervention is the disappearance of anal pain. You can walk immediately after the operation and resume normal activities, including the early work.

The intervention

It is performed under local anesthesia and can last from 15 a 30 minutes. A very small incision will be practiced at the level anal and isolated internal sphincter muscle that will be partially dissected. At the end of the intervention will be applied a dressing. For those who request it is possible to infiltrate the fissure with growth factors PRP. for a more rapid re-epithelialization and.

Conclusions relating to the intervention

• Duration intervention: 15-30 my
• Type of anesthesia: Local
• Dressings: 1
• Length of stay: 2 hours
• Resumption of normal activities: 1/2 gg.