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Br J Surg An anal fissure should always be treated by a specialist in Coloproctology using specific ointments that decrease the tone of the internal anal sphincter, promoting healing of the fissure. Dis Colon Rectum, 52 , pp. Occasionally, a book may appear without a printed ISBN if it is printed privately or the author does not follow the usual ISBN procedure, however, this can be rectified later. Home Medical articles Surgery Anal fissure: The time needed to evaluate whether or not the anal ulcer in patients subjected to an excisional biopsy had completely healed was standardised at four weeks. Of the patients who presented for the first time, half presented with symptoms for less than 1 month, the most common being anal pain and tenesmus..
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