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. 2007 May;20(2):133-7.
doi: 10.1055/s-2007-977492.

Anal fissure

Jan Rakinic  1
Affiliations

Anal fissure

Jan Rakinic. Clin Colon Rectal Surg. 2007 May.

Abstract

Anal fissure is a common problem, vexing to both patients and physicians. The historical mainstay of therapy has been some method of partial division of the internal anal sphincter with the serious potential complication of fecal incontinence. Nonsurgical treatment methods were therefore pursued, producing healing rates less than that seen after surgical therapy but none of the morbidity of surgery. This article summarizes accepted methods of modern medical and surgical therapy for anal fissure and offers a rationale for treatment type selection.

Keywords: Anal fissure; anal pain; sphincterotomy.

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References

    1. Horsch D, Kirsch J J, Weihe E. Elevated density and plasticity of nerve fibres in anal fissures. Int J Colorectal Dis. 1998;13:134–140. - PubMed
    1. Maria G, Brisinda D, Ruggieri M P, et al. Identification of anti-endothelial cell antibodies in patients with chronic anal fissure. Surgery. 1999;126:535–540. - PubMed
    1. Lapid O, Walfisch S. Perianal and gluteal burns as a complication of hot water bottle treatment for anal fissure. Burns. 1999;25:559–560. - PubMed
    1. Nelson R. Nonsurgical therapy for anal fissure. The Cochrane Library, Issue 1. Chichester, UK: John Wiley & Sons; 2004.
    1. Wiley M, Day P, Rieger N, et al. Open vs. closed lateral sphincterotomy for idiopathic fissure-in-ano: a prospective, randomized, controlled trial. Dis Colon Rectum. 2004;47:847–852. - PubMed