Title |
A review of chronic anal fissure management
|
---|---|
Published in |
Techniques in Coloproctology, August 2007
|
DOI | 10.1007/s10151-007-0355-9 |
Pubmed ID | |
Authors |
E. E. Collins, J. N. Lund |
Abstract |
Anal fissure management has rapidly progressed in the last 15 years as our understanding of fissure pathophysiology has developed. All methods of treatment aim to reduce the anal sphincter spasm associated with chronic anal fissures. Surgical techniques have been used for over 100 years with success. Lateral internal sphincterotomy remains the surgical treatment of choice for many practitioners. Postoperative impairment of continence remains controversial. Recently, less invasive methods of treatment have been explored. Topical nitrates, calcium channel blockers and botulinum toxin are established treatments. These and other non-surgical treatments are described in this review. Various guidelines and treatment algorithms for anal fissure are also discussed. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 2% |
Unknown | 59 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 8 | 13% |
Student > Ph. D. Student | 7 | 12% |
Student > Postgraduate | 5 | 8% |
Student > Bachelor | 5 | 8% |
Professor > Associate Professor | 5 | 8% |
Other | 15 | 25% |
Unknown | 15 | 25% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 38 | 63% |
Nursing and Health Professions | 3 | 5% |
Unspecified | 1 | 2% |
Agricultural and Biological Sciences | 1 | 2% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 2% |
Other | 2 | 3% |
Unknown | 14 | 23% |