A. Dicastro et al., FISSURECTOMY WITH POSTERIOR MIDLINE SPHINCTEROTOMY AND ANOPLASTY (FPSA) IN THE MANAGEMENT OF CHRONIC ANAL FISSURES, SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY, 27(10), 1997, pp. 975-978
Although lateral internal sphincterotomy is widely accepted as the tre
atment of choice for anal fissures, we report our experience of succes
sfully treating 195 consecutive patients with posterior chronic anal f
issures by performing fissurectomy with midline sphincterotomy and ano
plasty (FPSA). The surgical technique is described and its indications
and results are briefly discussed.