Surgical Approaches for the Treatment of Recurrent Anal Fissures: An In-depth Analysis
Recurrent anal fissures pose a significant therapeutic challenge in colorectal surgery, often necessitating surgical intervention after the failure of conservative measures. This document endeavors to provide a comprehensive analysis of the current surgical strategies employed for the management of recurrent anal fissures , elucidating the procedural intricacies, success rates, and pivotal considerations for patients undergoing such treatments. The Predicament of Anal Fissures Anal fissures are linear ulcers or tears at the distal anal canal, eliciting severe anal pain and bleeding, particularly during defecation. They are precipitated by a variety of etiological factors, including mechanical trauma from constipation and defecatory straining, with chronicity being established when fissures persist beyond a six-week duration. Chronic fissures often resist conservative treatment modalities, leading to a cycle of pain and discomfort for the affected individuals. Transition to S
