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Indian Journal of Surgery
Published in: Indian Journal of Surgery 1/2016

01-02-2016 | Letter to Editor

Local and Oral Antibiotics with Avoidance of Constipation (LOABAC) Treatment for Anal Fissure: a New Concept in Conservative Management

Author: Pankaj Garg

Published in: Indian Journal of Surgery | Issue 1/2016

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Excerpt

Anal fissure is one of the most common presenting complaints in the outpatient departments of colorectal and general surgery. In spite of newer advances (nitroglycerin or diltiazem gels and botulinum injection locally) in the conservative management of this disease, up to 40 % of patients would still require surgical intervention. In surgical options, lateral internal sphincterotomy (LIS) is considered as a gold standard by many surgeons because it is believed to be safe, has low morbidity, and is easy to perform. However, recent meta-analysis shows that LIS is associated with up to 14 % incontinence rates. Therefore, the need for conservative management cannot be overemphasized. …
Literature
1.
Durai R, Razvi A, Hin PN (2010) Novel use of povidone iodine in fissure-in-ano. Singapore Med J 51:837–8PubMed
2.
Garg P, Lakhtaria P, Nalamati S, Gupta V, Thakur J (2012) Chronic anal fissure: is it an infection in a physically deformed lesion?—a new insight into an old plight. In Annual conference of American Society of Colon Rectum Surgeons (ASCRS). San Antonio
3.
Garg P, Lakhtaria P (2014) Non-surgical management of chronic fissure-in-ano with high success rate: a simple novel concept in the treatment of chronic fissure-in-ano. In Annual conference of American Society of Colon Rectum Surgeons (ASCRS). Fort Laurderdale
Metadata
Title
Local and Oral Antibiotics with Avoidance of Constipation (LOABAC) Treatment for Anal Fissure: a New Concept in Conservative Management
Author
Pankaj Garg
Publication date
01-02-2016
Publisher
Springer India
Published in
Indian Journal of Surgery / Issue 1/2016
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-015-1319-3

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