Anal fissurectomy

  1. Inspection

    Video
    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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