Anal fissure sentinel pile posteriorly

Objective The aim of the study was to compare the results of internal sphincterotomy and sentinel pile flap SPF in the treatment of chronic anal fissure. Patients and methods This prospective study on consecutive 40 patients was conducted from July to February Patients were divided into two groups; 20 patients underwent lateral internal sphincterotomy LS and 20 patients underwent SPF. All patients were evaluated with respect to operative time and postoperative complications. Results were documented and statistically analyzed.
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Chronic anal fissure: 2% topical diltiazem hydrochloride

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Anal Fissure Expanded Information | ASCRS

Anal fissure fissure-in-ano is a very common anorectal condition. The exact etiology of this condition is debated; however, there is a clear association with elevated internal anal sphincter pressures. Though hard bowel movements are implicated in fissure etiology, they are not universally present in patients with anal fissures. Half of all patients with fissures heal with nonoperative management such as high fiber diet, sitz baths, and pharmacological agents. When nonoperative management fails, surgical treatment with lateral internal sphincterotomy has a high success rate.
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Anal fissures

Fissures are a small split or tear in the skin. Anal fissures are small splits or tears in the mucosal lining of the lower rectum and can range from involving only the epithelium to encompassing the entire thickness of the anal mucosa. Anal fissures can be acute or chronic. The goal of treatment is to relieve pain, constipation , and spasms, as well as reduce the resting internal anal sphincter pressure so that the fissure can fully heal. Therapy for anal fissures ranges from conservative measures to pharmacologic treatments to surgical interventions.
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An anal fissure is a common and often painful problem caused by a small tear or ulcer open sore in the lining of the anus back passage. This can cause bleeding, local itching and pain with a bowel movement, which can be severe. When someone has an anal fissure the first treatments can include a high-fibre diet, laxatives and applying anaesthetic ointments to the affected area.
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