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Fop anal fissure Tag: fop anal fissure A comparison of injections of botulinum toxin and topical nitroglycerin ointment for the treatment of chronic anal fissure. J Am Coll Surg. Anal fissures are not always visible on examination; however, examination is useful for ruling out other causes of pain and bleeding such as haemorrhoids, abscesses and viral ulcers. Littlejohn and colleagues described a technique of tailored left lateral sphincterotomy, wherein the sphincter is divided up to the height of the fissure. Re-examination of clinical manifestations and response to therapy of fissure-in-ano. Also, maximum resting pressure was not significantly elevated compared with controls, but was significantly elevated in posterior fissures.


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