Open lateral sphincterotomy is still the best treatment for chronic anal fissure.

Abstract	Chronic anal fissure is the main cause of anal pain and is very common. Many treatment modalities have been tried-none is ideal. Recently, topical nitric oxide releasing agents and botulin toxin injections have been used, trying to replace surgery. No long-term experience is available. Personal experience with 2,108 open, ambulatory, lateral sphincterotomy with follow-up of 4-20 years is presented.
Authors	S Argov, O Levandovsky
Journal	American journal of surgery (Am J Surg) Vol. 179 Issue 3 Pg. 201-2 (Mar 2000) ISSN: 0002-9610 [Print] United States
PMID	10827320 (Publication Type: Journal Article)
Chemical References	Anesthetics, Local Hypnotics and Sedatives Lidocaine Midazolam Bupivacaine
Topics	Ambulatory Surgical Procedures Anal Canal (surgery) Anesthetics, Local (administration & dosage) Bupivacaine (administration & dosage) Chronic Disease Fissure in Ano (surgery) Follow-Up Studies Humans Hypnotics and Sedatives (administration & dosage) Intestinal Mucosa (surgery) Lidocaine (administration & dosage) Midazolam (administration & dosage) Nerve Block Patient Satisfaction Postoperative Complications Recurrence Suture Techniques Treatment Outcome

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.

Realize the full power of the drug-disease research graph!