We need to examine the treatment under the heading of acute and chronic, which we mentioned at the beginning.
A conservative approach rather than surgery seems appropriate in the treatment of acute anal fissure. We can eliminate the disease from there by taking measures that will eliminate the mechanism and break the chain.
*Increasing the amount of fiber in the diet
*Hot shower and hot application
It is curative in the majority of acute patients.
The main purpose of treatment is to break the chain by reducing muscle spasm and allow the anal fissure to repair itself. Therefore, the entire treatment strategy is to reduce muscle spasm and allow adequate relaxation.
Glycerin trinitrate (GTN)
It is used in cream form. The way to use it is to apply a small amount to the anal area after a hot dressing and apply it to the entire muscle wall. It can be very effective when used after a hot shower. It should be used with caution in heart patients. It should not be forgotten that it has a serious headache side effect.
Botox
It is a poison in its origin and basically acts on the principle of flexing the muscles. In the treatment of anal fissure disease, it acts on the inner muscle layer, relaxes the muscles and allows us to break the chain
Lateral internal sphincterotomy
It is the gold standard treatment method in the treatment of chronic anal fissure. It is the cauterization of a part of the inner muscle layer in the anal area. It must be applied under pressure control.
It is the fastest and most effective treatment method if in safe hands and appropriate techniques are used. The biggest fear of patients in this regard is the fear of not being able to hold the toilet after surgery. It is a rare complication if patients choose physicians who are knowledgeable in this regard.
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