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Anal fissure.

Steven Schlichtemeier¹, Alexander Engel²

¹Royal North Shore Hospital.

Australian Prescriber

|April 5, 2016

Summary

This summary is machine-generated.

An anal fissure is a common condition diagnosed via history and physical exam. Treatment varies from lifestyle changes to surgery, with secondary fissures needing further investigation.

Keywords:

anal fissures anus botulinum toxin calcium channel blockers glyceryl trinitrate

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Murine Ileocolic Bowel Resection with Primary Anastomosis

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Published on: October 29, 2014

Area of Science:

Gastroenterology
Colorectal Surgery

Background:

Anal fissures are common, presenting as acute or chronic conditions.
Diagnosis relies on patient history and physical examination.
Primary fissures are typically benign and located anteriorly or posteriorly.

Purpose of the Study:

To outline the diagnostic approach to anal fissures.
To detail management strategies for primary and secondary anal fissures.
To emphasize the importance of further investigation for secondary fissures.

Main Methods:

Review of diagnostic criteria for anal fissures.
Summary of non-operative management options for primary fissures.
Discussion of indications for surgical referral and further investigation.

Main Results:

Primary anal fissures are usually benign and managed non-operatively.
Secondary fissures may indicate serious underlying pathology and require investigation.
Non-operative treatments include dietary fiber, sitz baths, topical agents, and botulinum toxin.

Conclusions:

Anal fissure diagnosis is primarily clinical.
Management is tailored to fissure type (primary vs. secondary).
Multidisciplinary approach is crucial, especially for suspected malignancy.