{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T21:00:17Z","timestamp":1791925217513,"version":"4.3.4"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[1995,3,1]],"date-time":"1995-03-01T00:00:00Z","timestamp":794016000000},"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":[[1995,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The classic high-pressure fissure responds well to lateral internal sphincterotomy. The management of recurrent fissures and those that occur in patients with weak sphincters is open to debate. An island advancement flap technique used in 21 patients is described with the above criteria. Preoperative median resting anal pressure was 66 (range 43\u201390) cmH2O and median maximal squeeze pressure was 132 (range 76\u2013193) cmH2O, values that were significantly lower than in controls and those with classic fissure. Endoanal ultrasonography in 15 of these patients showed defects in the anal sphincters. All flaps healed primarily with preservation of sensation. Perfect continence was maintained in all patients. Follow-up was for a median of 18 (range 2\u201328) months. There were no serious complications. All fissures healed with minimal postoperative discomfort. This procedure provides a useful alternative for symptomatic anal fissures, in which a sphincter-weakening procedure might jeopardize continence.<\/jats:p>","DOI":"10.1002\/bjs.1800820315","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T21:36:09Z","timestamp":1172957769000},"page":"326-328","source":"Crossref","is-referenced-by-count":92,"title":["Island advancement flaps in the management of anal fissures"],"prefix":"10.1093","volume":"82","author":[{"given":"D C N K","family":"Nyam","sequence":"first","affiliation":[{"name":"Department of Surgery, Royal Infirmary of Edinburgh , Lauriston Place, Edinburgh EH3 9YW,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R G","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Surgery, Royal Infirmary of Edinburgh , Lauriston Place, Edinburgh EH3 9YW,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K J","family":"Stewart","sequence":"additional","affiliation":[{"name":"Department of Surgery, Royal Infirmary of Edinburgh , Lauriston Place, Edinburgh EH3 9YW,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Farouk","sequence":"additional","affiliation":[{"name":"Department of Surgery, Royal Infirmary of Edinburgh , Lauriston Place, Edinburgh EH3 9YW,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D C C","family":"Bartolo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Royal Infirmary of Edinburgh , Lauriston Place, Edinburgh EH3 9YW,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1995,3,1]]},"reference":[{"key":"2024092814302071700_bib1","first-page":"737","article-title":"The management of fissure-in-ano","volume":"1","author":"Parks","year":"1967","journal-title":"Hospital Medicine"},{"key":"2024092814302071700_bib2","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1177\/003591576906200737","article-title":"Lateral subcutaneous sphincterotomy for anal fissure - a new technique","volume":"62","author":"Notaras","year":"1969","journal-title":"Proceedings of the Royal Society of Medicine"},{"key":"2024092814302071700_bib3","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":"2024092814302071700_bib4","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1002\/bjs.1800640204","article-title":"The internal sphincter and anal fissure","volume":"64","author":"Hancock","year":"1977","journal-title":"Br J Surg"},{"key":"2024092814302071700_bib5","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1002\/bjs.1800710517","article-title":"Adequate internal sphincterotomy for chronic anal fissure: subcutaneous or open technique?","volume":"71","author":"Boulos","year":"1984","journal-title":"Br J Surg"},{"key":"2024092814302071700_bib6","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1002\/bjs.1800561212","article-title":"The treatment of chronic fissure-in-ano. 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