Advanced anal dilation

Since incontinence is one of the main reasons for anal fissures to form, naturally, a sphincterotomy can be used to effectively treat the same. Organic nitrates such as glyceryl trinitrate GTN undergo cellular metabolism to release nitric oxide NO. Perineal support may offer a new dimension in improving healing rates. Life-threatening sepsis following treatment for haemorrhoids: Pneumatic dilation was performed with a mm diameter by mm-long anal balloon Microvasive, Genova, Italy with the balloon inflated to 20 psi for 6 minutes.
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Internal radiation (brachytherapy)

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The conservative treatment of fissure-in-ano. It can be used to give relieving incisions in the three quadrants other than the fissure before the fissure is attended. It has been shown that both nifedipine 0. Flap anoplasty procedures should be offered for normal anal pressure anal fissures and fissures secondary to obstetric trauma. Botulinum toxin 20 units injection for non-healing anal fissures after initial 8 wk of 0. However, the lack of studies and long term follow-up have hampered reporting of complication and recurrence rates. Carapeti et al[ 25 ] Two separate pilot studies.
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Radiation Therapy for Anal Cancer

Jones et al[ 28 ] Dual arm, prospective randomized, non-controlled. Botulinum toxin 20 units injection for non-healing anal fissures after initial 8 wk of 0. Hospital based; preoperative enema needed. A prospective study of infrared coagulation, injection and rubber band ligation in the treatment of haemorrhoids. Abstract Aim The results of controlled-intermittent anal dilatation CIAD or lateral internal sphincterotomy LIS in the treatment of chronic anal fissures are presented.
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Constitutional symptoms, abdominal pain, diarrhea, family history. Jones et al[ 28 ] Dual arm, prospective randomized, non-controlled. Lateral subcutaneous internal sphincterotomy in the treatment of chronic anal fissure: The second factor is the presence of ischemia causing non-healing of the anal fissure. A randomized, prospective, double-blind, placebocontrolled trial of the effect of topical diltiazem on posthemorrhoidectomy pain. However, recent data suggests that lateral internal sphincterotomy may be tolerated well in these patients when conservative management fails. Topical nifedipine with lidocaine ointment vs.
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