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Excision of anal fissures

Abstract Anal fissure fissure-in-ano is a very common anorectal condition. The exact etiology of this condition is debated; however, there is a clear association with elevated internal anal sphincter pressures. Though hard bowel movements are implicated in fissure etiology, they are not universally present in patients with anal fissures.

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An anal fissure fissure-in-ano is a small, oval shaped tear in skin that lines the opening of the anus. Fissures typically cause severe pain and bleeding with bowel movements.

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Aetiology and pathogenesis of anal fissures Traditionally, an anal fissure was thought to be due to constipation and passage of hard stool. Today, an increased tonicity of the internal sphincter is blamed for anal fissures. Tonic contraction of the internal anal sphincter is mediated by sympathetic innervations, which stays in state of partial contraction and relaxation in response to rectal distension.

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Return to Department of Surgery Anal Fissures are tears in the skin around the anus. They are usually caused by severe constipation, with passage of hard stool along with straining tears the skin. They can be very painful, usually described as sharp burning or tearing pain while having a bowel movement. The pain is primarily due to spasms in the nearby sphincter muscle.

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E-mail: ni. The nature and anatomy of fissure in ano is quite clear, and much is known about the various predisposing and contributing factors that lead to initiation and progression of the disease. The preferred method of treating them, one that results in optimal clinical results and the least pain and inconvenience to the patient, however, has been open to debate. Methods This paper outlines a brief account of the present scenario of different techniques available for the treatment of chronic anal fissure.

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