{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:03:50Z","timestamp":1789085030545,"version":"build-2803163510"},"reference-count":31,"publisher":"FapUNIFESP (SciELO)","issue":"3","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO Objetivo: avaliar os resultados de longo prazo da corre\u00e7\u00e3o de fissuras anais cr\u00f4nicas em pacientes sem hipertonia anal usando a t\u00e9cnica de anoplastia com o plicoma sentinela. M\u00e9todos: estudo prospectivo de pacientes com fissura anal cr\u00f4nica refrat\u00e1rios ao tratamento conservador e sem hipertonia anal, submetidos \u00e0 opera\u00e7\u00e3o de anoplastia com utiliza\u00e7\u00e3o do plicoma anal para cobrir a \u00e1rea cruenta. Foi confirmada a aus\u00eancia de hipertonia anal atrav\u00e9s do toque retal e da eletromanometria. Foi aplicado um question\u00e1rio de dor visual e o escore de incontin\u00eancia fecal da Cleveland Clinic, antes e ap\u00f3s a cirurgia. Resultados: quinze pacientes com fissura anal cr\u00f4nica foram acompanhados por um per\u00edodo m\u00e9dio de 29 meses (12 a 56). A m\u00e9dia de idade foi 41 anos (29 a 69) e a dura\u00e7\u00e3o dos sintomas variou entre seis meses e cinco anos. A cicatriza\u00e7\u00e3o ocorreu entre tr\u00eas e seis semanas para 13 pacientes (86,7%). Os outros dois pacientes foram submetidos a desbridamento e nova anoplastia, com sucesso. Em nenhum paciente ocorreu necrose do plicoma ou estenose anal. O escore de incontin\u00eancia anal n\u00e3o se alterou ap\u00f3s o procedimento e todos os pacientes referiram melhora da dor. Ap\u00f3s 12 meses de seguimento, nenhum paciente apresentou recorr\u00eancia ou incontin\u00eancia anal e 93,3% (14\/15) dos pacientes responderam estar muito satisfeitos. Conclus\u00e3o: fissurectomia e anoplastia com o uso do plicoma sentinela \u00e9 uma t\u00e9cnica segura que resulta em melhora da dor sem altera\u00e7\u00f5es da contin\u00eancia fecal e com altas taxas de satisfa\u00e7\u00e3o.<\/jats:p>","DOI":"10.1590\/0100-6991e-20192181","type":"journal-article","created":{"date-parts":[[2019,8,3]],"date-time":"2019-08-03T19:34:09Z","timestamp":1564860849000},"source":"Crossref","is-referenced-by-count":9,"title":["Anoplastia com plicoma sentinela para o tratamento de fissura anal cr\u00f4nica."],"prefix":"10.1590","volume":"46","author":[{"given":"Carlos Walter","family":"Sobrado J\u00fanior","sequence":"first","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Am\u00e9rico Bacchi","family":"Hora","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas Faraco","family":"Sobrado","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivian Regina","family":"Guzela","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S\u00e9rgio Carlos","family":"Nahas","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivan","family":"Cecconello","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2019]]},"reference":[{"issue":"5","key":"ref1","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1080\/00015458.1999.12098482","article-title":"Fissure-in-ano, to divide or not to 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