Abstract

A study of anal fissure, anal spasm and anal stenosis is presented. The evolution of these lesions is described. The anatomy of the anal canal and ano-rectum is presented because of its important bearing upon treatment. Treatment is based upon the principle of Hilton, namely, the securing of adequate mechanical and physiological rest to the affected parts. Based upon the principle of rest, the Author has presented his plan of treatment. The carrying out of the described technique necessitates careful attention to anatomical structures and landmarks. The treatment is essentially conservative and ambulant, and in the Author’s experience has greatly reduced the number of cases which need to be treated by radical surgical measures.

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