A consensus guideline has been established for managing anal fissures, addressing both acute and chronic cases that affect many individuals. The guidelines advocate for a clinical evaluation process and prioritize conservative treatments initially. If relief is inadequate, pharmacological intervention is suggested, followed by surgical options after 6-8 weeks. Surgical techniques like lateral internal sphincterotomy and fissurectomy are recognized for their effectiveness, each bearing distinct advantages and risks based on recent literature.
Review by Roelandt P, Bislenghi G (…) Wyndaele J et 14 al. in Acta Gastroenterol Belg
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