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An anal fissure is a linear tear in the skin of the distal anal canal below the dentate line. It is a common condition affecting all age groups but particularly common in young adults men and women are equally affected. The classical symptoms are of anal pain during or after defaecation and the passage of bright red blood per anus. Advancement anal flaps involve taking healthy tissue from another part of your body and using it to repair the fissure and improving the blood supply to the site of the fissure. the fissure may tear further, down to the ring of muscle that holds the anus closed, the internal sphincter. This may heal through the use of prescription drugs, but often requires surgical repair. A non-healing anal fissure can trigger a cycle of discomfort that may require medications or surgery to reduce the pain and to repair or heal the. an anal fissure is a tear of the squamous epithelium that usually extends from the dentate line to the anal verge. In 90 of cases, the fissure manifests as a painful linear ulcer lying in the posterior midline of the anal canal. Sphincterotomy for anal fissure involves the anus, inner lining of the anal canal, and the sphincter muscles. Why is the sphincterotomy for anal fissure surgical procedure performed? Sphincterotomy for anal fissure is performed to relieve the patient of excessive pain and discomfort caused due to the anal fissure. When you are discharged from the hospital, this is what to expect after anal fissure surgery, regarding the medicines you will be prescribed, which include. Topical medicine to relax your anal muscle and increase blood circulation in the area. Some of these medicines also have anesthesia to relive your pain, which should only last for two to three days after surgery. Anal fissure (af) is a common disorder which affects all age groups with an equal incidence in both sexes. Lateral internal sphincterotomy (lis) is considered the gold standard therapy for chronic anal fissure (caf) and relieves symptoms with a high rate of healing and less than 10 long term recurrence. This optimal therapy has, however, been associated with the. best video ever demonstrating steps to perform anal sphincter repair with explanation of the used instruments clinical simulation best video ever demonstrati. An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they are painful after defecation, but with chronic fissures, pain intensity often reduces. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline.