A) Anal Fissure, Anal Fistula B) Anal Stensis

概要

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Such anal diseases as fissura-in-ano and fistula-in-ano are often associated with homorrhoids. Either of the lesions is essentially subject to preservative treatment for the function of anal sphincter. In this paper, it mainly dealt with the chronic fistula, anal fissure and anal stenosis, excluding the cases which did not always need the surgical therapy. In case of a slight and mild degree of fissura ani, it applied to the anal digital dilatation and surgical drainage with its trimming. On the other hand, anal stenosis was. treated with the sliding skin graft procedure in this series. Many discussions about the problems on fissura ani and fistula-in-ano were patho-logically made recently in connection with coring-out procedure for preserving anal sphincter muscle functionally. Even in the cases of homorrhoidectomy, there are many kinds of important matter, prp-, in-, and.post- operatively (examination, digital dilatation, muscularis submucosae ani, surgical drainage with trimming, and so on.) We don't forgotten that the further evaluation is necessary for the treatment of anal diseases with 'hemorrhoids.
日本大腸肛門病学会の論文