Chronic anal fissure represents one of the most painful diseases occurring in the anorectal area. Cure requires removal of all abnormal tissue and is primarily a surgical problem. Proper correction results in dramatic relief. The surgeon learns early in his career that some of the most grateful patients are those who have been successfully operated on for chronic anal fissure. The majority of these patients remain well. A significant number suffer from recurrence. It is for this reason that the present study was undertaken.
DEFINITION OF PROBLEM
A fissure is a slit-like elongated ulcer at or near the anorectal line. It is commoner in men than in women. It occurs during the active years of life and is most commonly found in the posterior portion of the anal canal. Recurrence, after all forms of treatment and particularly after medical management and some forms of surgical treatment, is frequent enough to
Kratzer GL. RECURRENT ANAL FISSURE: CONCEPT OF PATHOGENESIS AND TREATMENT. JAMA. 1953;153(13):1165–1167. doi:10.1001/jama.1953.02940300023007
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