The presence of an anal fissure is reliably associated with an
elevated intra-anal pressure and decreased blood flow to the
anoderm. Symptoms include pain, bleeding, pruritus and soiling.
Greater than 90% of acute anal fissures are of short duration and
heal spontaneously or with simple measures. A high-fibre diet with
an increased intake of water is recommended, laxatives may be used
when required to soften constipated stool and warm sitz baths may
offer symptomatic relief. Acute fissures that fail to heal become
chronic fissures, which have traditionally been treated by surgery.
This book presents and discusses recent developments on anal
fissure conservative medical and surgical treatment, as well as the
management of surgical complications.
General
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