Review: medical therapies are less effective than surgery for anal fissure
نویسندگان
چکیده
منابع مشابه
A systematic review of medical therapy for anal fissure.
PURPOSE This is a meta-analysis of randomized, controlled trials to assess the efficacy and morbidity of medical therapies for anal fissure. METHODS Medline and the Cochrane Controlled Trials Register and the Cochrane Colorectal Cancer Review Groups Controlled Trials Register were searched using the terms "anal fissure randomized" from 1966 to 2002. Studies in which participants were randomiz...
متن کاملAnal fissure.
Anal fissure is one of the most common anorectal problems. Anal fissure is largely associated with high anal sphincter pressures and most treatment options 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 conservative care, various pharmacologic and surgical o...
متن کاملHypertrophied anal papillae and fibrous anal polyps, should they be removed during anal fissure surgery?
AIM Hypertrophied anal papillae and fibrous anal polyps are not given due importance in the proctology practice. They are mostly ignored being considered as normal structures. The present study was aimed to demonstrate that hypertrophied anal papillae and fibrous anal polyps could cause symptoms to the patients and that they should be removed in treatment of patients with chronic fissure in anu...
متن کاملThe medical and surgical management of chronic anal fissure.
Major advances in our understanding of the mechanisms involved in chronic anal fissure have allowed the introduction of many new medical therapies for this condition. The literature about current treatment modalities licensed for anal fissure and those novel therapies still under evaluation has been reviewed. These new treatments are examined in the context of traditional surgical management of...
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and commentary also appear in ACP Journal Club. Therapeutics EBM Volume 8 March/April 2003 49 www.evidence-basedmedicine.com group.bmj.com on June 22, 2017 Published by http://ebm.bmj.com/ Downloaded from
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ژورنال
عنوان ژورنال: Evidence-Based Medicine
سال: 2004
ISSN: 1356-5524
DOI: 10.1136/ebm.9.4.112