Studies have found an association between anal fissures and the use of nicorandil, a drug that is used to treat angina pectoris but is not currently available in the United States. You are viewing our newest and freshest images for your search. And they will just think it is a consequence of having sex. There is little evidence to support simultaneous faecal diversion for primary repair of acute perineal lacerations. You must be a registered member of Clinical Advisor to post a comment. Plus, get free weekly content and more. Anal fissures can be acute or chronic.
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The patient consented to examination and repair under anaesthesia. Loop sigmoid colostomies allow full diversion of feces away from the distal bowel limb, 17 are rapidly constructed and easily closed without laparotomy. Drawing showing a surgeon cutting the internal anal sphincter muscle to aid in the healing of acute anal fissure. Related Links More Features. Lateral dissection beneath flaps of anal mucosa was required to identify and retrieve the sphincter ends Fig. Close up woman's hand holding the backside: The choice of suture and techniques for repair of perineal trauma: