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PERFACT procedure: A new concept to treat highly complex anal fistula

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Is topical nifedipine effective for chronic anal fissures? | MDedge Family Medicine

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Is topical nifedipine effective for chronic anal fissures?

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The principle is to permanently close the internal opening by granulation tissue. This is achieved by superficial electrocauterization at and around the internal opening and subsequently allowing the wound to heal by secondary intention. Along with this, all the tracts are curetted and it is ensured that they remain empty and clean in the postoperative period until they heal completely.
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