Evidence map›Paper›PMID 17262202›Full record

ArticleInternational journal of colorectal disease2007

Long-term follow-up after combined fissurectomy and Botox injection for chronic anal fissures.

Th Scholz, F H Hetzer, D Dindo, N Demartines, P A Clavien, D Hahnloser

Open access · greenAbstract read
PubMed Publisher
In one paragraph

Article in International journal of colorectal disease, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
5.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 60 citations in OpenAlex.

  1. Gastrointestinal Uses of Botulinum Toxin.Handbook of experimental pharmacology · 2021
    Trial
  2. Trial
  3. Medical and surgical treatment of chronic anal fissure: a prospective study.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2007
    Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Conservative and surgical treatment of chronic anal fissure: prospective longer term results.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2010
    Article
  14. Article
  15. Article
  16. Continence disorders after anal surgery--a relevant problem?International journal of colorectal disease · 2008
    Review
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Th ScholzDepartment for Visceral and Transplantation Surgery, University Hospital Zürich, Rämistrasse 100, 8091 Zurich, Switzerland.
F H Hetzer
D Dindo
N Demartines
P A Clavien
D Hahnloser
University Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsChronic anal fissures are difficult to treat. The aim of this retrospective study was to determine the outcome of combined fissurectomy and injection of botulinum toxin Type A (BT). MATERIALS AND

methodsBetween January 2001 and August 2004, 40 patients (21 women), median age 37 years (range 18 to 57), underwent fissurectomy and BT injection. Fissurectomy was performed followed by injection of 10 U of BT into the internal anal sphincter on both sides of the fissure. All patients were clinically checked 6 weeks after the operation. At 1 year, patients were sent a detailed questionnaire regarding symptoms, recurrence and further treatment for evaluation of long-term results. RESULTS/

findingsAt 6 weeks, 38 patients (95%) were free of symptoms. No adverse effects were detected. The response rate of questionnaires was 93%; the median follow-up was 1 year (range 0.9 to 1.6). In the long-term, a recurrence was found in four patients. These patients were treated successfully with repeated fissurectomy and BT injections and salvage procedures, respectively. Overall, the success rate of combined fissurectomy and BT injection was 79%. INTERPRETATION/

conclusionCombined fissurectomy and Botox injection for chronic anal fissure is an excellent and safe procedure with low morbidity and a high healing rate.

Indexed as

AdolescentAdultBotulinum Toxins, Type AChronic DiseaseDrug Therapy, CombinationFemaleFissure in AnoFollow-Up StudiesHumansMaleMiddle AgedNeuromuscular AgentsRetrospective StudiesTreatment OutcomeWound HealingBotulinum Toxins, Type ANeuromuscular Agents

Identifiers

PMID17262202
OpenAlexW1985025720

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.