Diagnosis and principles of treatment for fissure in ano
Dörner, A.; Winkler, R.
Langenbecks Archiv für Chirurgie. Suppl Ii Verhandlungen der Deutschen Gesellschaft für Chirurgie. Deutsche Gesellschaft für Chirurgie. Kongress 1989: 785-788
1989
ISSN/ISBN: 0173-0541 PMID: 2577640 Document Number: 331147
The diagnosis of an anal fissure can be made definitively on the basis of history and inspection. Therapy aims to stop the vicious circle of increased resting pressure, decreased perfusion, pain and obstipation. Chronic fissures are complicated by an incomplete fistula-in-ano. It is treated by laying open the fistula and sphincterotomy.