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The Medical And Surgical Management Of Chronic Anal Fissure
  1. Maj JP Garner, MRCSEd RAMC, Specialist Registrar1,
  2. Mr M McFall, FDS RCS(Eng) FRCS(Eng), Specialist Registrar2 and
  3. Maj DP Edwards, ChM FRCSEd (Gen.Surg) RAMC, Consultant Colorectal Surgeon2
  1. 1garners{at}
  2. 2Department of Colorectal Surgery, Frimley Park Hospital, Portsmouth Road, Frimley, Camberley, Surrey, GU16 7UJ


Major advances in our understanding of the mechanisms involved in chronic anal fissure have allowed the introduction of many new medical therapies for this condition. The literature about current treatment modalities licensed for anal fissure and those novel therapies still under evaluation has been reviewed. These new treatments are examined in the context of traditional surgical management of the disease and a future treatment algorithm suggested.

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