… are based on reducing anal pressures. Conservative management, using increased fiber
and warm baths, results in healing of approximately half of all anal fissures. In fissures that fail …

… Though hard bowel movements are implicated in fissure etiology, they are not universally
present in patients with anal fissures. Half of all patients with fissures heal with nonoperative …

… Fissure in ano or anal fissure is a linera tear in the lining of the distal anal canal below the
… The classic symptoms are anal pain during or after defecation accompanied by the passage …

… by reducing the associated abnormally raised resting anal pressure. Traditionally, … anus
For many years, manual dilatation of the anus was the primary treatment for chronic anal fissure. …

… Anal fissure is a common problem that causes significant morbidity in a young and … Acute
fissures should be treated conservatively with dietary modification. Chronic fissures do not …

… emphasis on anal hygiene. RESULTS: Acute superficial anal fissures responded well to
conservative management. Over 95 percent of patients with chronic anal fissures treated by sur…

… in patients with acute anal fissures, examining the … anal fissure addressed this scenario,
analyzing over 50 randomized trials of various nonoperative therapies for chronic anal fissures…

… complicated anal fissure but also for acute anal fissure with severe pain or for recurrent fissure
… sphincter tone and excision of the anal fissure. Lateral internal sphincterotomy (LIS) is the …

… has been advocated in the treatment of chronic anal fissures. Although anal dilatation results
in successful healing of anal fissures comparable to lateral internal sphincterotomy, 20 , 21 …

… In less than 1% of patients the fissures are lateral or multiple.2 Irrespective of these
differences posterior and anterior anal fissures are thought to be of primary aetiology …