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Hypertrophied anal papillae and fibrous anal polyps,should they be removed during anal fissure surgery?

World Journal of Gastroenterology 2004年第16期10卷 2412-2414页

作者： Pravin J.Gupta proctologist Gupta Nursing HomeD/9LaxminagarNAGPUR-440022India

AIM:Hypertrophied anal papillae and fibrous anal polyps are not given due importance in the proctology practice. They are mostly ignored being considered as normal *** present study was aimed to demonstrate that hypertrophied anal papillae and fibrous anal polyps could cause symptoms to the patients and that they should be removed in treatment of patients with chronic fissure in anus. METHODS:Two groups of patients were studied.A hundred patients were studied in group A in which the associated fibrous polyp or papillae were removed by radio frequency surgical device after a lateral subcutaneous sphincterotomy for relieving the sphincter *** group of a hundred patients who also had papillae or fibrous polyps,were treated by lateral sphincterotomy *** were followed up for one year. RESULTS:Eighty-nine percent patients from group A expressed their satisfaction with the treatment in comparison to only 64% from group B who underwent sphincterotomy alone with the papillae or anal polyps left *** A patients showed a marked reduction with regard to pain and irritation during defecation (P=0.0011), pricking or foreign body sensation in the anus (P=0.0006) and pruritus or wetness around the anal verge (P=0.0008). CONCLUSION:Hypertrophied anal papillae and fibrous anal polyps should be removed during treatment of chronic anal *** would add to effectiveness and completeness of the procedure.

关键词： Adult Anal Canal Female Fissure in Ano Follow-Up Studies Humans Hypertrophy Intestinal Polyps Male Pain Patient Satisfaction Retrospective Studies Time Factors

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