{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T21:26:48Z","timestamp":1781731608105,"version":"3.54.5"},"reference-count":19,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[1989,5,1]],"date-time":"1989-05-01T00:00:00Z","timestamp":609984000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1989,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A total of 1355 patients underwent internal sphincterotomy for chronic fissure in ano between 1980 and 1985. Surgical data were obtained for 1102 patients, and 829 patients responded to a questionnaire. Of the 1057 for whom the time of healing was recorded, 1033 (97.7 per cent) healed by a mean time of 5.6 weeks. No significant differences in satisfaction with the outcome or in deficits in continence were noted between groups undergoing lateral, bilateral or posterior midline sphincterotomy. Excision of the fissure was found to be unnecessary. According to responses on the questionnaires, deficits in continence ranging from \u2018sometimes\u2019 to \u2018frequently\u2019 included lack of control of flatus (35.1 per cent), soiling of underclothing (22.0 per cent) and accidental bowel movements (5.3 per cent). A significantly higher proportion of patients who had accidental bowel movements were aged over 40 years.<\/jats:p>","DOI":"10.1002\/bjs.1800760504","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T13:29:38Z","timestamp":1172928578000},"page":"431-434","source":"Crossref","is-referenced-by-count":249,"title":["Sequelae of internal sphincterotomy for chronic fissure in ano"],"prefix":"10.1093","volume":"76","author":[{"given":"I T","family":"Khubchandani","sequence":"first","affiliation":[{"name":"The Health East Teaching Hospital (The Allentown Hospital - Lehigh Valley Hospital Center) , 1200 South Cedar Crest Boulevard, Allentown, Pennsylvania 18103,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J F","family":"Reed","sequence":"additional","affiliation":[{"name":"The Health East Teaching Hospital (The Allentown Hospital - Lehigh Valley Hospital Center) , 1200 South Cedar Crest Boulevard, Allentown, Pennsylvania 18103,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1989,5,1]]},"reference":[{"key":"2024092807294333400_bib1","doi-asserted-by":"crossref","first-page":"461","DOI":"10.5694\/j.1326-5377.1979.tb125755.x","article-title":"Comparison of lateral subcutaneous sphincterotomy with anal dilatation in the treatment of fissure in ano","volume":"2","author":"Collopy","year":"1979","journal-title":"Med J Aust"},{"key":"2024092807294333400_bib2","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1136\/bmj.2.5405.342","article-title":"Stretching of anal sphincters in treatment of fissure-in-ano","volume":"2","author":"Watts","year":"1964","journal-title":"Br Med J"},{"key":"2024092807294333400_bib3","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1136\/bmj.3.5724.673","article-title":"Lateral subcutaneous internal sphincterotomy in treatment of anal fissure","volume":"3","author":"Hoffmann","year":"1970","journal-title":"Br Med J"},{"key":"2024092807294333400_bib4","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/S0016-5085(19)32882-3","article-title":"Internal anal sphincter derangement with anal fissures","volume":"67","author":"Nothmann","year":"1974","journal-title":"Gastroenterology"},{"key":"2024092807294333400_bib5","first-page":"486","article-title":"The surgical correction of chronic anal (sphincteric) contracture","volume":"25","author":"Eisenhammer","year":"1951","journal-title":"S Afr Med J"},{"key":"2024092807294333400_bib6","first-page":"583","article-title":"The evaluation of the internal anal sphincterotomy operation with special reference to anal fissure","volume":"109","author":"Eisenhammer","year":"1959","journal-title":"Surg Gynecol Obstet"},{"key":"2024092807294333400_bib7","first-page":"713","article-title":"Lateral subcutaneous sphincterotomy for anal fissure - 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