{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T01:05:46Z","timestamp":1780621546384,"version":"3.54.1"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,2,27]],"date-time":"2013-02-27T00:00:00Z","timestamp":1361923200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim\u2002<\/jats:bold> Internal sphincterotomy is the standard surgical treatment for chronic anal fissure, but is frequently complicated by anal incontinence. Fissurectomy is proposed as an alternative technique to avoid sphincter injury. We describe 1\u2010year outcomes of fissurectomy.<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> This was a prospective, multicentre, observational study. All patients with planned surgery for chronic anal fissure were included and had fissurectomy. Data were collected before surgery, at healing, and 1\u2003year after fissurectomy. Patient self\u2010assessed anal symptoms and quality of life (using the 36\u2010item short\u2010form health survey [SF\u201036] questionnaire). Presurgical and postsurgical variables were compared using the Wilcoxon signed\u2010rank test for paired samples.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Two\u2010hundred and sixty\u2010four patients were included (median age, 45\u2003years; 52% women). Anoplasty was associated with fissurectomy in 83% of the 257 documented cases. The main complications were urinary retention (<jats:italic>n\u2003<\/jats:italic>=<jats:italic>\u2003<\/jats:italic>3), local infection (<jats:italic>n\u2003<\/jats:italic>=<jats:italic>\u2003<\/jats:italic>4) and faecal impaction (<jats:italic>n\u2003<\/jats:italic>=<jats:italic>\u2003<\/jats:italic>1). Healing was achieved in all patients at a median of 7.5\u2003weeks after surgery. No recurrence occurred. At 1\u2003year, 210 (79%) questionnaires were returned. Median anal pain had dropped from 7.3\/10 to 0.1\/10 (<jats:italic>P\u2003<\/jats:italic>&lt;<jats:italic>\u2003<\/jats:italic>0.001), anal discomfort had decreased from 5.0\/10 to 0.1\/10 (<jats:italic>P\u2003<\/jats:italic>&lt;<jats:italic>\u2003<\/jats:italic>0.001) and the Knowles\u2013Eckersley\u2013Scott Symptom constipation score had decreased from 9\/45 to 5\/45 (<jats:italic>P\u2003<\/jats:italic>&lt;<jats:italic>\u2003<\/jats:italic>0.001). There was a nonsignificant increase in the Wexner anal incontinence score, from 1\/20 to 2\/20. <jats:italic>De\u2010novo<\/jats:italic> clinically significant anal incontinence (Wexner score\u2003&gt;\u20035) affected 7% of patients at 1\u2003year, but presurgical incontinence had disappeared in 15% of patients. All SF\u201036 domains significantly improved. Anoplasty did not impact any result.<\/jats:p><jats:p><jats:bold>Conclusion\u2002<\/jats:bold> Given its high rate of healing and low rate of <jats:italic>de\u2010novo<\/jats:italic> anal incontinence, fissurectomy with anoplasty is a valuable sphincter\u2010sparing surgical treatment for chronic anal fissure.<\/jats:p>","DOI":"10.1111\/j.1463-1318.2012.03176.x","type":"journal-article","created":{"date-parts":[[2012,7,7]],"date-time":"2012-07-07T20:48:24Z","timestamp":1341694104000},"page":"359-367","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":56,"title":["Sphincter\u2010sparing anal\u2010fissure surgery: a 1\u2010year prospective, observational, multicentre study of fissurectomy with anoplasty"],"prefix":"10.1111","volume":"15","author":[{"given":"L.","family":"Abramowitz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Bouchard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Souffran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Devulder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Ganansia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Castinel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.\u2010M.","family":"Suduca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Soudan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Varastet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Staumont","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the GREP: Groupe de Recherche En Proctologie de la Soci\u00e9t\u00e9 Nationale Fran\u00e7aise de Colo\u2010Proctologie; and the CREGG: Club de R\u00e9flexion des cabinets et Groupe d\u2019H\u00e9pato\u2010Gastroent\u00e9rologie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,2,27]]},"reference":[{"key":"e_1_2_8_2_2","first-page":"206","volume-title":"Colon and rectal surgery","author":"Corman ML","year":"1998"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6262-5"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1997.02484.x"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/DCR.0b013e3181a65f5f"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02054993"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1463-1318.2004.00576.x"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(77)90445-7"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(96)06090-4"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800830614"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6660-8"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199907083410201"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2007.01203.x"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2009.09.002"},{"key":"e_1_2_8_15_2","first-page":"CD002199","article-title":"Operative procedures for fissure in ano","volume":"1","author":"Nelson RL","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_8_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02054409"},{"key":"e_1_2_8_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02564886"},{"key":"e_1_2_8_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234220"},{"key":"e_1_2_8_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-003-0002-0"},{"key":"e_1_2_8_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-008-9273-9"},{"key":"e_1_2_8_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-008-0444-4"},{"key":"e_1_2_8_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-009-0908-5"},{"key":"e_1_2_8_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-007-9022-5"},{"key":"e_1_2_8_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02236639"},{"key":"e_1_2_8_25_2","doi-asserted-by":"publisher","DOI":"10.1136\/gut.44.1.77"},{"key":"e_1_2_8_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02050307"},{"key":"e_1_2_8_27_2","volume-title":"Le questionnaire MOS SF\u201036. 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