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COPYRIGHT 2002 International Medical News Group
SAN DIEGO -- Chemical sphincterotomy using topical glyceryltrinitrate followed, if necessary, by botulinum toxin enables up to 90% of patients with chronic anal fissures to avoid surgery, Dr. Ian Lindsey reported at the annual meeting of the American Society of Colon and Rectal Surgeons.
Lateral sphincterotomy, the traditional therapy for chronic anal fissures, has fallen into disfavor of late because long-term outcome studies have shown the operation poses a significant risk of permanent disturbances in anorectal continence, said Dr. Lindsey of John...
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