대한대장항문학회

The authors analyzed 136 cases involving Patients with anal fissure, who were<br>admitted and treated in Song-Do Anorectal Hospital from Jan. 1. 1991. to Dec. 31. 1991.<br>The results were as follows;<br>1) The most common age groups were the 3rd and 4th decades, showing 49<br>cases(36.0%) and 44 cases(32.4% ), respectively.<br>2) The chief complaints were pain(98.5%), bleeding(58.8%), and mass(41.9%).<br>3) According to the authors' classification, type Ⅰ revealed 2 cases, type ⅡA 34, type<br>ⅡAS 3, type ⅡB 83, type ⅡBS 4, and type IIC 10 cases.<br>4) Type Ⅰ was treated by conservative methods, type Ⅱ by operation, type Ⅲ either<br>by conservative method or by operation depending on the cases.<br>5) With regard to the operations, the authors Performed LSIS(lateral subcutaneous<br>internal sphincterotomy) only or LSIS accompanied by fissurectomy in type ⅡA. LSIS<br>and fissurectomy with or without SSG(sliding skin graft) were performed in type ⅡB<br>and type ⅡC. SSG was performed in case of stenosis or large defects of the anoderm<br>more than 0.7∼1.0 cm in width. Any fistula, hypertrophied papilla or skin tag due to the<br>fissure itself was managed at the same time of fissurectomy.<br>6) Postoperative complications were 1 case of delayed wound healing, 3 cases of<br>abscess at the site of LSIS, and 5 cases of skin tags.<br>