A restrospective study of 300 patients with chronic anal fissue is presented. Lateral internal sphincterotomy offers shorter hospital stay, rapid wound healing, low recurrence rate, and no permanent defect in continence, and is, therefore, the procedure of choice in uncomplicated anal fissures. Fissurectomy-midline sphincterotomy should be reserved for patients in whom local fistulization has complicated anal fissure.
No takes yet. Share an insight, caveat, or question.
Herand Abcarian (1980) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: