Rick Nelson knows more about anal fissure than almost anyone in the world and has recently published a comprehensive meta-analysis of the evidence supporting treatment for anal fissure in the leading journal, Techniques in Coloproctology.
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.
Invaluable listening for updating knowledge or revising for an exam.
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