Journal
SURGICAL CLINICS OF NORTH AMERICA
Volume 90, Issue 1, Pages 33-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.suc.2009.09.002
Keywords
Anal fissure; Anorectal disease; Nonoperative treatment; Sphincterotomy
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Anal fissure is a common disorder that is effectively treated and prevented with conservative measures in its acute form, whereas chronic fissures may require medical or surgical therapy. This article discusses the nonoperative and operative management strategies, reviews the current literature on expected outcomes, and provides guidance on dealing with fissures in special situations, such as patients with inflammatory bowel disease or hypotonic sphincters.
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