Anal Fissure Flashcards
1
Q
An anal fissure is a tear of the _________ __________ lining in lower anal canal
A
squamous epithelial
2
Q
Why do anal fissures sometimes heal poorly?
A
Spasm of internal sphincter can = ischaemia and poor wound healing
3
Q
Anal fissures are more common in men or women?
A
Women
4
Q
Main cause of anal fissure
A
Passage of hard stool
5
Q
Where are fissures most commonly found?
A
Posterior at 6 o’clock
6
Q
Two conservative Mx options for anal fissure?
A
Soaks in warm bath
Dietary advice: increase fluids and fibre
7
Q
Medical Mx of anal fissure? (3)
A
Laxatives
Topical: lignocaine, GTN, Diltiazem
8
Q
What surgical Mx options are there for anal fissures?
A
Divide internal sphincter if overactive
Lateral partial sphincterotomy
