Documente Academic
Documente Profesional
Documente Cultură
Group Members:
Bibi Goberdhan
Hakeema Figueira
Michelle Kewaroo
Zoanna Das
Objectives
To
To
fissure.
To
fissure.
Definition
Anal
Fissure is a
longitudinal tear or
ulceration in the lining of
the anal canal usually just
distal to the dentate line.
Classifications
Acute
Anal Fissure :
Located between the anal
verge and the dentate line,
these tears may deepen to
expose the underlying
internal anal sphincter.
INCIDENCE OF
CONDITION
Anal
Found
in equal frequency in
males and females.
ETIOLOGY
Fissures are usually caused by:
the trauma of passing a large,
firm stool
from
Other
Less
Risk Factors
Diets
Caffeine
Spicy
of anal fissures.
Other
CLINICAL MANIFESTATIONS
Anal
bleeding.
Pain
Itching
Dysuria
TREATMENT - Medical
Treatments
to reduce sphincter
spasm and promote healing of
fissures include:
1. Injecting the sphincter with
botulinum toxin and applying GTN
ointment or CCB to the area of the
fissure.
2.
Dilatation
Internal Sphincterotomy
Fissurectomy
DIAGNOSTIC EVALUATION
Physical Assessment
Rectal
Examination
Anoscopy
/ Flexible Sigmoidoscopy
COMPLICATIONS
Some
Chronic
Anal fissure
Anal
fistulas
Anal
stenosis
PATIENT EDUCATION
PREVENTION
Fissures!
Of Anal
Reference
Hinkle
Ignatavicius
Schoen,
Hemorrhoids
Thornton,
Anal