Anal fissure treatment must be decided by objective macroscopic finding than subjective symptom that is serious or not. Anal fissure group into three classes according to the progress. First degree anal fissure ; it is a new simple fissure of anal canal. Second degree anal fissure ; it is ulceration, surface of the ulcer change the fiberous in the lateral edges where undermine. Third degree anal fissure ; it combined with big sentinel tag, hypertrophied anal papilla, haemorrhoids and fistula in ano, etc. On the other hand, the treatment classification three big classes.
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