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Purpose: The aim of this randomized, prospective study was to compare the results of closed lateral internal sphincterotomy with the authors' innovative approach of finger fragmentation of internal sphincter fibers, termed sphincterolysis, in the treatment of chronic anal fissure. Patients and Methods: Adult patients with chronic anal fissures were randomly assigned to undergo closed lateral...
The author proposes a technique of finger fragmentation of internal anal sphincter fibers to relieve anal sphincter spasm in patients with chronic anal fissures. This prospective study evaluates the clinical and functional outcome in a group of patients with chronic anal fissures.Forty-five patients suffering from chronic anal fissure underwent the procedure termed “sphincterolysis.” Anal manometry...
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