BACKGROUND Anal fissure is a frequent proctologic disease. There are many and various treatments adopted to cure this disease. In this study we applied radiofrequencies to the subcutaneous lateral internal sphincterotomy and we compared the techniques in a randomised trial. METHODS Patients have been randomized in two groups: in group A 18 patients underwent subcutaneous lateral internal sphi...

AIM To compare surgical and chemical sphincterotomy for treatment of chronic anal fissure. METHODS The 160 patients studied were randomly divided into four equal groups, treated by lateral internal sphincterotomy (group S), local diltiazem ointment (group D), local glyceryl trinitrate ointment (group GTN), or injection of botulinum toxin into the internal anal sphincter (group BT). Anal manom...

Objective The aim is to compare complications and long-term outcome of two treatment modalities chronic anal fissure: chemical sphincterotomy by glyceryl trinitrate (GTN) cream lateral internal sphincterotomy. Background Treatment fissure achieved the reduction in tone sphincter either chemically or surgically. Patients methods In period from November 2013 October 2015, all patients who were ad...

Background: Although lateral internal sphincterotomy is an effective treatment of chronic fissure in ano, it’s of potential to better-done and lower complications. And the aim of this prospective randomized trial was to compare the effectiveness and morbidity of open and closed sphincterotomy in the treatment of chronic anal fissure. Methods: The two methods were compared in a randomized contro...

BACKGROUND Chronic anal fissure is the most common cause of anal pain associated with internal anal sphincter hypertonia. Reduction of hypertonia favours fissure healing. Temporary reduction in sphincter tone can be achieved by conservative treatment. Surgical sphincterotomy achieves permanent reduction of sphincter hypertonia and is very successful at healing anal fissures, but requires an ope...