Temporal trends and treatment patterns in anal fissure management: insights from a multicenter study in Italy.

ABSTRACT:

Introduction

Anal fissure (AF) poses a common challenge in clinical practice, prompting various treatment approaches. This multicenter study, conducted by the Italian Society of Colorectal Surgery, aimed to assess treatment trends in AF over a 10 year period.

Methods

A survey of proctologists and retrospective analysis of patient records were conducted to evaluate treatment modalities and outcomes across six different clinical scenarios based on AF presentation (acute/chronic) stratified by sphincter function (normal/hypertonic/hypotonic).

Results

Analysis of data from 17 principal investigators and 22,016 patients revealed significant variability in treatment approaches, influenced by factors such as symptom duration, anal tone, and surgeon preference. Conservative t

SUBMITTER: Picciariello A 

PROVIDER: S-EPMC11452494 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature