Surgical treatment for anal fissure

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Jump to navigation. Sometimes the most difficult thing about a problem is overcoming the fear of facing it. When people have painful conditions of the anus, they tend to be embarrassed to talk about that part of the body and even less enthusiastic about inviting a doctor to take a look.

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The anal canal is a short tube surrounded by muscle at the end of your rectum. The rectum is the bottom section of your colon large intestine. An anal fissure also called fissure-in-ano is a small rip or tear in the lining of the anal canal.

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We confirmed the absence of anal hypertonia through rectal exam and electromanometry. We applied a visual pain questionnaire and the Cleveland Clinic fecal incontinence score before and after surgery. The mean age was 41 years and the duration of symptoms ranged from six months to five years.

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This is a retrospective study of cases of chronic anal fissures treated by five varying methods over a five-year period from January to December Results showed that the incidence of recurrent fissures was higher in those treated by anal fissurectomy with sphincterotomy. There was also a significant difference in operative time, length of hospital stay, patient discomfort, and incidence of urinary retention among these operative methods. Generally, lateral anal sphincterotomy and multiple anal sphincterotomies showed a lesser incidence of these factors.

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Anal fissures are tears or splits in the squamous epithelium of the anus just distal to the dentate line. Acute and chronic anal fissures are differentiated chronologically and morphologically. Morphologically, chronic anal fissures, as opposed to acute fissures, are characterized by hypertrophy of the anal papilla, a sentinel skin tag, rolled skin edges and exposed internal sphincter muscle.

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There is also the possibility of accepting book reviews of recent publications related to General and Digestive Surgery. The Impact Factor measures the average number of citations received in a particular year by papers published in the journal during the two receding years. CiteScore measures average citations received per document published.

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Jump to navigation. Anal fissure is a painful ulcer usually occurring in the posterior midline of the skin just outside the entry to the rectum. Its persistence is due to spasm of the internal sphincter muscle.

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Physical examination in Februaryshowed a chronic character of his problem and hemorrhoids to have progressed to Stage III. The operating time of the dual procedure was short and the patient witnessed a remarkable, painless post-op rehab period. The results of the ELITE technique using a diode laser for treating hemorrhoidal nodules are very promising. In the hands of an experienced surgeon the technique is applicable to be used in combination with other procedures in order to treat several problems in the anal region at the same time.

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A fissure is a split in the skin of the anal canal. This split fails to heal and becomes established as a painful ulcer associated with spasm of the anal sphincter muscle. Most anal fissures arise following trauma injury to the anus.

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Anal Fissures are tears in the skin around the anus. They are usually caused by severe constipation, with passage of hard stool along with straining tears the skin. They can be very painful, usually described as sharp burning or tearing pain while having a bowel movement.


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