Lateral internal sphincterotomy under local and spinal anaesthesia for chronic anal fissure: A randomised control trial
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IntroductionAnal fissure is described as a linear defect, or laceration, in the anoderm, located between the dentate line and the anal verge. An acute fissure is a simple laceration, whereas a chronic anal fissure is an ulceration with built-up scarred edges and exposed internal anal sphincter muscle fibers at its base. Additional findings may include a perianal skin tag at the external margin of the fissure and a hypertrophied papilla at the dentate.

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