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chronic anal fissures

Anal Fissure Treatment & Management

Most chronic anal fissures are associated with a raised internal anal sphincter (IAS) pressure and reduced vascular perfusion at the base. Current treatment has aimed at reducing resting anal pressure by diminishing sphincter tone and improving blood supply at the site of the fissure, thus promoting the healing rate. Summary of the evidence on 2% topical diltiazem hydrochloride for chronic anal fissure to inform local NHS planning and decision-making. Anal fissure; An anal fissure: Classification and external resources; Specialty: General surgery: However, some anal fissures become chronic and deep and will not. Chronic anal fissures Chronic anal fissures Chronic anal fissures

Medical Therapy

Chronic anal fissures Chronic anal fissures Readers Comments 9 Share Your Story. Lateral sphincterotomy is the Gold Standard for curing this affliction. Although many surgeons decline to cut out the fissure itself during lateral sphincterotomy, this author feels that this reluctance to chronic anal fissures the fissure is not always appropriate, and characteristics of the fissure itself should be taken into account. Current treatment has aimed at reducing resting anal pressure by diminishing sphincter tone and improving blood supply at the site of the fissure, thus promoting the healing rate. NTG ointment is thought to relax the internal sphincter and to help chronic anal fissures some of the pain associated with sphincter spasm; it also is thought to increase blood flow to the anal mucosa. To help these fissures heal and chronic anal fissures them from coming back:
Chronic anal fissures Chronic anal fissures
Chronic anal fissures Chronic anal fissures
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