An Audit into the Management of Chronic Anal Fissure

Conclusions Topical creams were the most successful treatments (50%; n=9/18) in ACPGBI-compliant strategies. Importantly, these data suggests that compliance with the ACPGBI algorithm leads to healing without surgery in 83.3% (n=15/18) of patients, compared to 26.1% (n=6/23) with non-compliant methods (P=0.0004). This highlights the benefit of early conservative and medical management of CAF, before attempting surgery.
Source: Annals of Medicine and Surgery - Category: Journals (General) Source Type: research