Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Chronic anal fissure.

I Lindsey1, O M Jones, C Cunningham

  • 1Department of Colorectal Surgery, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK.lindseyilinz@yahoo.com

The British Journal of Surgery
|March 3, 2004
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Prevention and management of metabolic bone disease of prematurity: a systematic review.

Journal of perinatology : official journal of the California Perinatal Association·2026
Same author

ACPGBI position statement on the role of standard high-quality right hemicolectomy and complete mesocolic excision in right-sided colon cancer.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2026
Same author

Reconsidering the 1 mm rule: Contextualising R1 margin status in rectal cancer.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2026
Same author

Support need for vocational learners transitioning into postgraduate education: a thematic analysis.

BMC medical education·2026
Same author

Differential attainment within medical education: a systematic review.

BMC medical education·2025
Same author

High and low take-off external prolapse phenotypes can be characterised preoperatively on defaecation proctography.

Techniques in coloproctology·2025

Medical therapies offer a convenient, cost-effective first-line treatment for chronic anal fissures. Emerging treatments and sphincter-sparing surgery may soon replace traditional surgery, minimizing incontinence risks.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • The management of chronic anal fissure is evolving from surgical interventions to medical approaches.
  • Traditional surgical methods carry risks of incontinence due to internal sphincter weakening.

Purpose of the Study:

  • To review modern management strategies for chronic anal fissure.
  • To evaluate the efficacy and safety of current and emerging treatments.

Main Methods:

  • A comprehensive Medline search was conducted for studies on the contemporary management of chronic anal fissure.

Main Results:

  • Medical therapies, while safer, have shown limited efficacy compared to traditional surgery.
  • Emerging medical treatments and novel sphincter-sparing surgical techniques are showing promise.

Related Experiment Videos

  • Sphincter-sparing surgery may offer high healing rates without the risk of incontinence.

    • Conclusions:

    • Medical therapy is an effective and economical initial treatment for most chronic anal fissures.
    • Non-responders to medical therapy may benefit from further sphincter assessment before considering surgery.
    • Advancements in sphincter-sparing surgery could potentially eliminate the risk of incontinence associated with fissure treatment.