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Sarner et al[ 45 ]. Patients often return to normal activity within one week. This treatment soothes the pain and relaxes the spasm of the internal sphincter for some time 3 Adequate analgesia is necessary to break the vicious cycle of pain viz. It is not the first option in treatment. Complications from these procedures include flap necrosis from loss of vascular supply, suture line dehiscence from excessive tension, donor site problems, local infection, urinary tract infection, incontinence, and re-stenosis. Mean follow up was 50 mo. If technical guidelines are rigorously followed, the feared complications associated with surgical procedures, such as anal stricture and sphincteric injuries, are largely reduced.
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Lateral Internal Sphincterotomy: The Recovery

In infants, once an anal fissure has occurred, addressing underlying causes is usually enough to ensure healing occurs. Prepare for your surgery. Follow all her instructions and do not hesitate to ask any questions if something confuses you.
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