{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:22:26Z","timestamp":1761823346608},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2011,1,28]],"date-time":"2011-01-28T00:00:00Z","timestamp":1296172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Sphincter\u2010sparing procedures are increasingly advocated in the treatment of chronic anal fissures (CAF) resistant to conservative management. Herein, we report about our results with sphincter\u2010sparing transanal mucosal advancement flap anoplasty (MAAP) to treat CAF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>The present study was a retrospective single\u2010center analysis of patients in whom conservative management of CAF failed and who subsequently underwent MAAP between January 2003 and December 2008.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 26 patients with a median age of 46.5 years (range: 17\u201379 years) had undergone MAAP after suffering with CAF for a median period of 9\u00a0months (range: 4\u201336\u00a0months). Surgery was well tolerated in all patients. One patient developed a perianal abscess at the operative site 3 weeks after MAAP, which required excision. At 2, 12, and 24\u00a0months follow\u2010up, all patients were free of pain with no fissure recurrence or any worsening of incontinence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Mucosal advancement flap anoplasty might be another sphincter\u2010sparing treatment option in patients suffering from CAF. To draw final conclusions about the value of MAAP in the treatment of CAF, more solid data are required.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-011-0959-0","type":"journal-article","created":{"date-parts":[[2011,1,27]],"date-time":"2011-01-27T15:46:09Z","timestamp":1296143169000},"page":"900-904","source":"Crossref","is-referenced-by-count":18,"title":["Mucosal Advancement Flap Anoplasty for Chronic Anal Fissure Resistant to Conservative Therapy"],"prefix":"10.1002","volume":"35","author":[{"given":"M.","family":"Oua\u00efssi","sequence":"first","affiliation":[{"name":"D\u00e9partement de Chirurgie Digestive et Oncologique, Service de Chirurgie Digestive et Oncologique P\u00f4le d\u2019Oncologie des Sp\u00e9cialit\u00e9s M\u00e9dicales et Chirurgicales H\u00f4pital Timone, 267, Rue Saint Pierre 13385 Marseille Cedex 05 France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"U.","family":"Giger","sequence":"additional","affiliation":[{"name":"D\u00e9partement de Chirurgie Digestive et Oncologique, Service de Chirurgie Digestive et Oncologique P\u00f4le d\u2019Oncologie des Sp\u00e9cialit\u00e9s M\u00e9dicales et Chirurgicales H\u00f4pital Timone, 267, Rue Saint Pierre 13385 Marseille Cedex 05 France"},{"name":"Department of Surgery Kantonsspital Bruderholz Basle Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I.","family":"Sielezneff","sequence":"additional","affiliation":[{"name":"D\u00e9partement de Chirurgie Digestive et Oncologique, Service de Chirurgie Digestive et Oncologique P\u00f4le d\u2019Oncologie des Sp\u00e9cialit\u00e9s M\u00e9dicales et Chirurgicales H\u00f4pital Timone, 267, Rue Saint Pierre 13385 Marseille Cedex 05 France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K. 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