American College of Surgeons Türkiye Chapter Meeting - Recent Advances in Surgery, March 9-10, 2026, Ankara
Accepted Poster 1:
Postoperative Hypoparathyroidism Should Not Be Considered Permanent at 6 Months: Evidence Supporting a 12-Month Recovery Window and Its Medico-Legal Impact
Tarih : 10 - 11 Ocak 2026
Yer : Ankara
Adres : SBÜ Gülhane Eğitim ve Araştırma Hastanesi Kongre ve Kültür Merkezi
Kayıt için: https://www.yogunbakim.org.tr/ucretsiz-kurslar/yb-okulu-5
https://ihslc.mehmetakif.edu.tr/
3- Patient Information During Intensive Care Unit Information Hours Should Be Delivered Jointly By Physicians And Nurses (Dr. Muhammed Enes Köseoğlu)
4- We Recommend Adding Dyes, Bitterants And Aversive Odors to Household Hydrochloric Acid And Belach To Reduce Accidental Ingestion In Türkiye ( Dr. Veysel Aydoğdu)
5- Appendectomy by Obstetricians and Gynecologists: Medico-Legal Boundaries and Institutional Privileging in Türkiye and the United States (Dr. Afra Artuk)
6- Subspecialization in Emergency Medicine After the Recognition of Intensive Care Medicine (Dr. Yasin Burak)
7- Intraabdominal Pressure Measurement by Direct Needle Puncture of the Foley Catheter: Is It Acceptable to Risk Urosepsis? (Dr. Selen Kalkan)
8- Transplantasyon Cerrahisinin Yan Dal Olarak Tanınması ve Türkiye'de Resmî Eğitim Programının Başlatılması (Dr. Talha Şahin)
9- Acil Tıp Ve Genel Cerrahi Uzman Doktorları İçin Almanya’daki Ek Unvan Modelinin Türkiye’de Uygulanması Önerisi (Dr. Aynur Ecevit Kaya)
https://www.nnysaglikkongresi.org/
TREATMENT OF ACUTE AND CHRONIC ANAL FISSURES: A
COMPARATIVE ANALYSIS OF CONSENSUS AND DIFFERENCES IN INTERNATIONAL GUIDELINES
Mehmet Eren Yuksel
Etlik City Hospital, Surgical Critical Care Unit,
Ankara, Turkiye
e-mail: doctormehmeteren@yahoo.com
Orcid ID: https://orcid.org/0000-0002-7110-0717
ABSTRACT
Introduction: Anal
fissures are a frequent cause of anorectal pain and bleeding, typically
presenting as linear tears in the anoderm. Four major societies, World Society
of Emergency Surgery and American Association for the Surgery of Trauma
(WSES/AAST), American College of Gastroenterology (ACG), Association of
Coloproctology of Great Britain and Ireland (ACPGBI) and American Society of
Colon and Rectal Surgeons (ASCRS) have published guidelines for their
management.
Method: This study
compared the latest guidelines from the WSES/AAST (2021), ACG (2021), ACPGBI
(2023), and ASCRS (2023).
Results and Discussion: All
four guidelines recommend dietary fiber, stool softeners, hydration, and sitz
baths for acute fissures. For chronic cases, ACPGBI and ASCRS prefer topical
diltiazem or glyceryl trinitrate, whereas ACG and WSES/AAST offer either option
without preference. Botulinum toxin is generally a second-line option, although
WSES/AAST allows for earlier use in high-risk patients. Lateral internal
sphincterotomy is universally accepted as the definitive treatment for
refractory cases, with ACPGBI and ASCRS emphasizing tailored approaches to
minimize incontinence.
Conclusion: A
unified evidence-based guideline incorporating diverse clinical scenarios would
support more consistent and patient-centered care.
Keywords: Anal fissure,
Botulinum toxin, Guideline, Lateral internal sphincterotomy
