There is a certain relationship between the existence of anal fissure and internal hemorrhoids. Some people do not understand the relationship, and the treatment is often biased, making the disease protracted and difficult to heal. There are many reasons for anal fissure, such as anal crypt infection, internal hemorrhoid infection, anal canal laceration, etc. In this case, if the internal hemorrhoids are not treated together (mainly the internal hemorrhoids above the fissure), Anal fissure is also difficult to heal. The same is true for surgery. If the internal hemorrhoids above the anal fissure are considered "no big deal", the anal fissure is still not easy to heal. Therefore, when we cut the internal anal sphincter to treat the anal fissure, we should advocate the corresponding orientation The internal and external hemorrhoids are also removed at the same time, because the removal of internal and external hemorrhoids can reduce a part of the anal recesses and anal canal connective tissue, which can reduce the infection foci that induce anal fissures. At the same time, after hemorrhoids are removed, the anal canal opening is enlarged, which is beneficial Patients with prolonged anal fissure and anal stenosis.
Therefore, in terms of treatment, we can't just treat headaches and feet, we must actively eliminate possible predisposing factors to prevent them. In particular, tell patients not to forget hemorrhoids while treating anal fissures.
-----Excerpt from "The Secret of Hemorrhoids" edited by Li Shenglong