A review of chronic anal fissure management.

Abstract:

:Anal fissure management has rapidly progressed in the last 15 years as our understanding of fissure pathophysiology has developed. All methods of treatment aim to reduce the anal sphincter spasm associated with chronic anal fissures. Surgical techniques have been used for over 100 years with success. Lateral internal sphincterotomy remains the surgical treatment of choice for many practitioners. Postoperative impairment of continence remains controversial. Recently, less invasive methods of treatment have been explored. Topical nitrates, calcium channel blockers and botulinum toxin are established treatments. These and other non-surgical treatments are described in this review. Various guidelines and treatment algorithms for anal fissure are also discussed.

journal_name

Tech Coloproctol

authors

Collins EE,Lund JN

doi

10.1007/s10151-007-0355-9

subject

Has Abstract

pub_date

2007-09-01 00:00:00

pages

209-23

issue

3

eissn

1123-6337

issn

1128-045X

journal_volume

11

pub_type

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