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Open lateral sphincterotomy is still the best treatment for chronic anal fissure
1Elisha and Horev Medical Centers, Haifa, Israel.
American Journal of Surgery
|May 29, 2000
Abstract:
Chronic anal fissure is the main cause of anal pain and is very common. Many treatment modalities have been tried-none is ideal. Recently, topical nitric oxide releasing agents and botulin toxin injections have been used, trying to replace surgery. No long-term experience is available. Personal experience with 2,108 open, ambulatory, lateral sphincterotomy with follow-up of 4-20 years is presented.