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Lateral internal sphincterotomy is the preferred method of surgery for persons with chronic anal fissures, and is generally used when medical therapy has failed. [1] It is associated with a lower rate of side effects than older techniques such as posterior internal sphincterotomy and anoplasty, [3] and has also been shown to be superior to topical glyceryl trinitrate (GTN 0.2% ointment) in ...
Specialty. Gastroenterology. An anal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute, they are painful after defecation, [ 1 ] but with chronic fissures, pain intensity often reduces and becomes cyclical.
Goodsall's rule. Goodsall's rule relates the external opening (in the perianal skin) of an anal fistula to its internal opening (in the anal canal). It states that if the perianal skin opening is posterior to the transverse anal line, the fistulous tract will open into the anal canal in the midline posteriorly, sometimes taking a curvilinear ...
A software company’s head of personnel is found strangled, raped, and stabbed in New York. While working the case, the detectives connect with an FBI psychiatrist, excuse us, the FBI ...
Anorectal abscess (also known as an anal/rectal abscess or perianal/perirectal abscess) is an abscess adjacent to the anus. [1] Most cases of perianal abscesses are sporadic, though there are certain situations which elevate the risk for developing the disease, such as diabetes mellitus , Crohn's disease , chronic corticosteroid treatment and ...
References. List of Law & Order episodes. Law & Order is an American police procedural and legal drama television series created by Dick Wolf that premiered on NBC on September 13, 1990. Set in New York City, where episodes were also filmed, the series ran for twenty seasons before it was cancelled on May 14, 2010, and aired its final episode ...
Sam Waterston. This week marks the end of an era on Law & Order as the long-lived NBC procedural says goodbye to one of its most iconic team members. Thursday's episode, titled "Last Dance," will ...
During an episode, the patient feels spasm-like, sometimes excruciating, pain in the rectum or anus, often misinterpreted as a need to defecate. To be diagnosed as proctalgia fugax, the pain must arise de novo (meaning the absence of clear cause). As such, pain associated with constipation (either chronic, or acute), penetrative anal ...