In recent years there has been growing interest in spinchter-sparring surgical techniques, predominantly that of fissurectomy either alone or in combination with other fissure e. In clinical practice, given the invasiveness of these injections and the adverse-effect profile, some clinicians use botulinum toxin as second-line therapy, particularly in high-risk sandy mature young multiparous females with reduced sphincter massbefore lateral anal them for a surgical opinion. An anal fissure fissure-in-ano is a small, oval shaped tear in skin that lines the opening of the anus.
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Lateral anal sphincterotomy
The treatment itself has the advantage of having a prolonged effect that is nonetheless reversible, avoiding the risk of permanent injury to the anal sphincter mechanism. This so-called keyhole deformity sometimes leads to imperfect closure of the anal canal or trapping of faeces with resultant soiling. Topical nitroglycerine therapy for anal fissures and ulcers.
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Diseases of the anorectum. You should have a bath the day after your operation — this will help to soak away any dressing. GTN works by expanding blood vessels in and around the anus, increasing the blood supply to the fissure and helping it heal faster. Anal fissure.