The exact aetiology of primary anal fissure
In our study most frequent clinical presentation was haemorrhoids (37.9.0%), Followed by anal fissure
Libertiny et al20 in a similar comparative trial showed 98% healing of anal fissure
with lateral internal sphincterotomy while GTN relieved 56%, with 10% recurrence.
* Criteria for study inclusion: Participants were randomized to nonsurgical therapy for anal fissures
. Comparison groups included operative procedures, other medical therapy, or placebo.
A comparison of botulinum toxin and saline for the treatment of chronic anal fissure
. N Engl J Med 1998; 338: 217-220.
In our study out of 470 patients who had acute anal fissure
, 456 patients (97%) were treated conservatively with warm sitz bath, stool softener, high fibre diet and topical diltiazem or nifedipine ointment application; 14 patients (3%) were subjected to lateral internal sphincterotomy as 1st line of treatment.
Stress and psychopathology and its impact on quality of life in chronic anal fissure
Material and Methods: Chronic anal fissure
was treated with use of lateral anal sphicterotomy after admission to surgical ward and by application of 0.2% glyceryltrinatrate as an outdoor case on 202 patients over a period of 15 months.
is a common condition in young and middle-aged adults, and especially in peripartum women.
Late Post-Operative Complications Complication 2 Weeks 3 Months 6 Months Faecal Urgency 2 0 0 Intermittent Bleeding 3 1 0 Anal Stenosis 0 1 0 Abscess, Anal Fissure
, 0 0 0 Fistula and Recurrence
Background: Anal fissure
is a commonly distressing disease.
The pain associated with an anal fissure
is distinct from that of an abscess or thrombosed hemorrhoid--it's a throbbing pain lasting minutes to hours per episode.
Common organic causes include cryptitis, anal fissure
, perianal abscess (with or without fistula), hemorrhoids, solitary rectal ulcer, inflammatory bowel disease, and rectal ischemia (Figure 3).
3 months; ectropion, anal fissure
, and anal incontinence were the most frequent complications.
In 1951, he published an article in the Journal of Surgery on the management of anal fissure