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Anal fissurectomy

general and visceral surgery

readingtime 07:13 min.

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Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Inspection
Excising the fissure and secondary changes
Leaving an outer drainage triangle

Authors

Prof. Dr. med. Alexander Herold

Prof. Dr. med. Alexander Herold

End- und Dickdarm-Zentrum Mannheim

Date

date of publication: 26.04.2009

Inspection

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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

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

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general and visceral surgery

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After activation, you can expect the following content:

Inspection
Excising the fissure and secondary changes
Leaving an outer drainage triangle