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Relationship between anal pressure and anodermal blood flow. Secondary anal fissures require further investigation. Diseases of the digestive system primarily K20—K93 , — If this therapy fails and the fissure becomes chronic, surgery is usually required. Altomare DF et al: Preliminary Results of a Multicenter Study".
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In Group B', significant reduction in resting pressure lasted 30 minutes P less than 0. The large sentinel skin tag and hypertrophied anal papilla are excised. Endoluminal ultrasound and magnetic resonance imaging MRI are proving very useful in patients with complex fistulas as they clearly demonstrate the relationship of the fistula track to the levator mechanism and anal sphincters.
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