BACKGROUND Anal fissures are dealt with using traditional approaches aiming at relieving the anal spasm and minimizing the anal sphincter pressure. Nevertheless, pathologies like sentinel tags, anal papillae, anal polyps, or small hemorrhoids which are often associated with chronic fissures are either considered innocuous, therefore left untreated, or are removed by conventional techniques. M...

BACKGROUND/AIM Anal fissures are one of the most common proctologic disorders. This study aimed to investigate alterations in anal sphincteric resting pressures after lateral internal sphincterotomy, which was performed for chronic anal fissure treatment. MATERIALS AND METHODS Fifty-six (68.3%) male and 26 (31.7%) female patients were included in this study. Patients complicated with fistula-...

Objective: To ascertain the role of triamcinolone injection at base an anal fissure and its effect on healing pain relief. Methodology: A quasi-experimental study was conducted from November 2021 to February 2022. Under aseptic measures, a 1ml Triamcinolone 40mg/ml administered using 1cc insulin syringe. This injected in four positions around fissure. Patients were followed for one week assess ...

AIM: to improve the results of chronic anal fissure treatment.PATIENTS AND METHODS: prospective randomized study included 176 patients divided in two groups. Eighty-eight underwent excision combination with injection botulinum toxin type A (incobotulinum toxin) into internal sphincter (main group, BTA), and 88 lateral subcutaneous sphincterotomy (control LIS).RESULTS: on 30th day after surgery,...