Anal fissurectomy - general and visceral surgery

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date of publication: 26.04.2009

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  • Inspection


    Carefully dilate the anal canal and then insert the anal retractor.

    The chronic fissure in ano with a sentinel skin tag and proximal anal fibroma is seen at the posterior circumference.

  • Excising the fissure and secondary changes

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    Flat, tangential excision of all altered tissue while sparing the internal anal sphincter muscle.

  • Leaving an outer drainage triangle

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    Create of a sufficiently large drainage triangle which is left to secondary wound healing.