Morbidity of internal sphincterotomy for anal fissure and XXXX .

@entity1 @entity548 @entity532 @entity111 @entity292 @entity158 @entity850
Internal sphincterotomy is thought by most surgeons to have minimal complications. We retrospectively reviewed 306 @entity1 following internal sphincterotomy to determine the incidence of any complications. Major complications (requiring reoperation) caused by @entity292 , @entity548 , abscess, or unhealed wounds occurred in ten @entity1 (3 percent). @entity532 caused by @entity111 , persistent wound, @entity158 , @entity548 , abscess, discharge, urgency, impaction, or defects of continence occurred in 110 @entity1 (36 percent). Complications were lowest for closed sphincterotomy (20 percent) and highest for open sphincterotomy alone (55 percent). All @entity1 were cured of anal fissure or @entity850 . Long-term follow-up (average 4.3 years) revealed a 22 percent incidence of persistent minor complications. Defects in continence caused 15 percent of total long-term morbidity. @entity532 occur frequently after internal sphincterotomy for anal fissure and @entity850 . Closed sphincterotomy has the lowest complication rate. Long-term minor defects in continence occur in a significant number of @entity1 .
