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Accessed Oct. Preventing recurrence of Anal fissure: The dose of GTN delivered depends upon the concentration and the volume of ointment applied. Recent studies have demonstrated that there is a role for pharmacological agents in the treatment of chronic anal fissure. Sphincterotomy was initially performed at the site of the fissure usually in the posterior midline, and the fibres of the internal sphincter were divided in its base. With that, the skin and the underlying muscle have only a maximal capacity to withstand that stress. American Society of Colon and Rectal Surgeons.
He offers Lateral internal sphincterotomy, flaps surgery and LASER treatment for Anal Fissure. Lateral Internal sphinterotomy – Standard Task Force of the American Society of Colon and Rectal Surgeons has recommended partial lateral internal sphincterotomy as the . Surgical modalities of anal fissure treatment, including lateral internal sphincterotomy and botulinum toxin injection, are discussed in this topic. The clinical presentation, diagnosis, prevention, and medical management of anal fissure are discussed elsewhere. An anal fissure is a tear in the lining of the anus or anal canal. One sign of an anal fissure is pain during or after a bowel movement. Causes, diagnosis and treatment--including surgery--are discussed.
NCBI Bookshelf. Surgical Treatment: Evidence-Based and Problem-Oriented. Zuckschwerdt; Jonas and J.