Clin Colon Rectal Surg 2001; 14(3): 193-202
DOI: 10.1055/s-2001-16547
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Anal Fissures

K. Steven Wiley1 , Bertram T. Chinn2
  • 1Department of Colon and Rectal Surgery, University of Medicine and Dentistry of New Jersey-RW Johnson University Hospital, New Brunswick, NJ
  • 2Department of Surgery, University of Medicine and Dentistry of New Jersey-RW Johnson University Hospital, New Brunswick, NJ, and Muhlenberg Regional Medical Center, Plainfield, NJ
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Publikationsdatum:
22. August 2001 (online)

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ABSTRACT

Anal fissures are a frequent anorectal problem that commonly affects the young and middle aged. Men and women are equally affected, with the posterior area more frequently involved than the anterior. Pain associated with the fissure is more severe than the wound would suggest. Many fissures respond to nonoperative management. Fissures, which fail to heal with nonoperative measures, generally require a partial lateral internal sphincterotomy. In those with compromised sphincter function, an anal-mucosal advancement flap is recommended.

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