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508 results on '"Mellgren, Anders"'

56. A posterior anal sling for fecal incontinence: results of a 152-patient prospective multicenter study

Author

Chern, Hueylan, Culligan, Patrick, Fenner, Dee, Gurland, Brooke, Karram, Mickey, Lowry, Ann, Lucente, Vincent, Marcet, Jorge, Matthews, Catherine, Mellgren, Anders, Murphy, Miles, McNevin, Shane, Nihira, Mikio, Pickron, Bartley, Rahbar, Reza, Rasheid, Sowsan, Raybon, Brian, Salamon, Charbel, Sands, Dana, Shobeiri, Abbas, Varma, Madhulika, Zutshi, Massarat, Lucente, Vincent R., and Fenner, Dee E.

Published
2016
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58. Use of Botulinum Toxin Injections for the Treatment of Chronic Anal Fissure: Results From an American Society of Colon and Rectal Surgeons Survey

Author

Borsuk, Daniel J., Studniarek, Adam, Park, John J., Marecik, Slawomir J., Mellgren, Anders, and Kochar, Kunal

Abstract

Background Chronic anal fissure (CAF) is commonly treated by colorectal surgeons. Pharmacological treatment is considered first-line therapy. An alternative treatment modality is chemical sphincterotomy with injection of botulinum toxin (BT). However, there is a lack of a consensus on the BT administration procedure among colorectal surgeons.Methods A national survey approved by the American Society of Colon and Rectal Surgeons (ASCRS) Executive Council was sent to all members. An eight-question survey was sent via ASCRS email correspondence between December 2019 and February 2020. Questions were derived from available meta-analyses and expert opinions on BT use in CAF patients and included topics such as BT dose, injection technique, and concomitant therapies. The survey was voluntary and anonymous, and all ASCRS members were eligible to complete it. Responses were recorded and analyzed via an online survey platform.Results 216 ASCRS members responded to the survey and 90% inject 50-100U of BT. Most procedures are performed under MAC anesthesia (56%). A majority of respondents (64%) inject into the internal sphincter and a majority (53%) inject into 4 quadrants in the anal canal circumference. Some respondents perform concomitant manual dilatation (34%) or fissurectomy (38%). Concomitant topical muscle relaxing agents are not used uniformly among respondents.Discussion Injection of BT for CAF is used commonly by colorectal surgeons. There is consensus on BT dosage, administration site, technique, and the use of monitored anesthesia care.

Published
2023
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61. sj-pdf-1-asu-10.1177_00031348211023446 – Supplemental Material for Use of Botulinum Toxin Injections for the Treatment of Chronic Anal Fissure: Results From an American Society of Colon and Rectal Surgeons Survey

Author

Borsuk, Daniel J., Studniarek, Adam, Park, John J., Marecik, Slawomir J., Mellgren, Anders, and Kochar, Kunal

Subjects
FOS: Clinical medicine, 110323 Surgery
Abstract

Supplemental Material, sj-pdf-1-asu-10.1177_00031348211023446 for Use of Botulinum Toxin Injections for the Treatment of Chronic Anal Fissure: Results From an American Society of Colon and Rectal Surgeons Survey by Daniel J. Borsuk, Adam Studniarek, John J. Park, Slawomir J. Marecik, Anders Mellgren and Kunal Kochar in The American Surgeon

Published
2021
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77. Invited editorial

Author

Steele, Jr., Glenn D., Mellgren, Anders, Sirivongs, Prayuth, Rothenberger, David A., Madoff, Robert D., and García-Aguilar, Julio

Published
2000
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