CLIS for Anal Fissure Dr Kushal Mital
Chronic Anal Fissure is best tackled by Closed Lateral Sphincterotomy as it deals with the high sphincteric pressure, skin tag and hypertrophic papilla. Results excellent. Keeping closed or open is the surgeon's choice, with former heals faster. Curettage of the base of the Fissure is an import step, often forgotten.