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Anal fissure


Authors: Zuzana Adamová 1;  Radim Slováček 1;  Tomáš Bár 1;  Jaroslav Sankot 1;  Petr Vlček 2
Authors‘ workplace: Chirurgické oddělení, Vsetínská nemocnice a. s., Vsetín2I. chirurgická klinika Fakultní nemocnice u sv. Alžběty a LF MU, Brno 1
Published in: Čas. Lék. čes. 2015; 154: 11-13
Category: Review Article

Overview

Anal fissure is one of the very frequent and painful proctologic diseases. Linear ulcer is situated in the anal canal and extending from the dentate line to the margin of the anus. Fissure can cause pain and bleeding. Diagnosis is made from the history and local inspection. Acute anal fissure should be treated conservatively – increased fibre and fluid intake, warm baths, local anaesthetic ointment, alternatively with nitrates and if all else fails by botulinum toxin. Treatment of chronic fissure will start conservatively but operative options are necessary in many cases.

Keywords:
anal fissure – conservative therapy – lateral sfincterotomy


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Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management
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