Episode Synopsis "Anal Fissure - the evidence"
Rick Nelson tells Jon Lund about his latest meta analysis of evidence in the treatment of anal fissure. There are some surprises that will challenge what you think you know about efficacy of topical treatments, anal stretch, and the much lower than previously thought incidence of impairment of continence after sphincterotomy. You can read the full paper at http://bit.ly/2yeyCEZ A systematic review and meta-analysis of the treatment of anal fissure. Techniques in Coloproctology August 2017, Volume 21, Issue 8, pp 605–625
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