The radiofrequency scalpel is an innovative instrument which allows to cut and coagulate tissues in an atraumatic manner, conversely to the electric scalpel. The authors describe the use of radiofrequencies in proctology by making a literature review for every major proctologic disease (hemorrhoids, anal fistulas, anal fissure, sinus pilonidalis, hypertrophied anal papillae). Many techniques ha...

BACKGROUND Acute anal fissure as a common disease in society has several etiologies and manifestations such as severe anal pain and bleeding. Nitroglycerin ointment 0.2% is the most common topical treatment used. The most common side effect of nitroglycerin is headache, which is annoying for patients and often leads to discontinuation of the drug. OBJECTIVE Comparison of egg yolk as a natural...

OBJECTIVE To assess the effectiveness of different modes of treatment of chronic anal fissure as regards improvement of symptoms and complications. METHODS This prospective study included 129 consecutive patients with chronic anal fissures presented to the Surgical Outpatients' Department of Islam Teaching Hospital Sialkot, Pakistan; from September 2010 to November 2012. Patients were distrib...

Introduction: Anal fissures are small tears in the lining skin of the anus presenting with typical symptoms of pain and bleeding during defecation. Several new forms of medicines such as glyceryle trinitrate (GTN) ointments and diltiazem, a calcium channel-blocking agent, have been recently used for the treatment of these fissures. Diltiazem relaxes the muscle of anal sphincter and consequently...

An acute fissure when observed by everting the anus *shows longitudinal muscle fibres in the floor of the ulcer. These are fibres of the conjoint longitudinal muscle layer which have passed downwards through the internal anal sphincter to gain attachment to the anal canal and perianal skin. If the lesion persists, the longitudinal fibres ulcerate through to expose the underlying whitish circula...

Purpose: To characterize the population of patients undergoing surgical treatment of anal fissures; to assess the outcomes and complications of the procedures in an ambulatory surgical center; and to evaluate the satisfaction degree of the patients. Methods: Demographic data, type of procedure and complications of patients who underwent surgical treatment for anal fissuresin the Integrated Cent...