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World Journal of Surgery
Published in: World Journal of Surgery 12/2006

01-12-2006

Current Concepts in Anal Fissures

Authors: Abraham A. Ayantunde, FRCS, FWACS, Samuel A. Debrah, FRCS, FWACS

Published in: World Journal of Surgery | Issue 12/2006

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Abstract

Introduction

Anal fissure is a common and distressing problem the true incidence of which is probably higher than recorded. There is a progressive understanding of the etiopathogenesis of this entity and the changing trend in its management approach. This is a systematic review of available published literature looking at current management options in anal fissures.

Methods

A MEDLINE-based search of the relevant literature from 1970 to 2004 was performed on the current concepts in etiopathogenesis and management of anal fissure.

Results

The current opinion is a drift toward conservative measures as the first- and second-line approaches rather than surgery for treatment of anal fissure. Simple and readily available measures with less complication, good patient compliance, and satisfaction requiring no hospitalization should first be considered.

Conclusions

Most anal fissures heal with medical therapy, but their limitations include side effects, poor compliance, and recurrence of the fissure. A cautious surgical approach is required to treat those who do not respond to medical therapy.
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Metadata
Title
Current Concepts in Anal Fissures
Authors
Abraham A. Ayantunde, FRCS, FWACS
Samuel A. Debrah, FRCS, FWACS
Publication date
01-12-2006
Publisher
Springer-Verlag
Published in
World Journal of Surgery / Issue 12/2006
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-005-0664-y

Other articles of this Issue 12/2006

World Journal of Surgery 12/2006 Go to the issue

OriginalPaper

A Population-Based Study of Pancreatic Trauma in Scotland

INVITED COMMENTARY

Re: Survival after Neoadjuvant Therapy Compared with Surgery Alone for Resectable Esophageal Cancer in a Population Based Study

OriginalPaper

Lessons Learned from Initial Experience with Peritonectomy and Intra-peritoneal Chemotherapy Infusion

OriginalPaper

Hyperbaric Oxygen Therapy for Malignancy: A Review

INVITED COMMENTARY

Invited Commentary on The Analysis of Infection after Polypropylene Mesh Repair of Abdominal Wall Hernia

OriginalPaper

Need for an Individualized and Aggressive Management of Multinodular Goiters of Endemic Zones by Specially Trained Surgeons: Experience in Western Nepal