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Rectal cancer with anal involvement is typically treated with abdominoperineal resection APR. However, patients treated with neoadjuvant chemoradiotherapy with good clinical response and tumor regression from the anus present a controversial management dilemma. Patients were treated in the prone position with the three-field technique to 45— LAR was performed in patients with good sphincter function at presentation, in those with sufficient tumor regression away from anal canal to permit LAR, and in those compliant with close follow-up.
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Modern Perspectives in the Treatment of Chronic Anal Fissures

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ICDCM Diagnosis Code K Other specified diseases of anus and rectum

Anal fissures are commonly encountered in routine colorectal practice. Developments in the pharmacological understanding of the internal anal sphincter have resulted in more conservative approaches towards treatment. Simple measures are often effective for early fissures. Glyceryl trinitrate is well established as a first-line pharmacological therapy.
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Diagnosis Index entries containing back-references to K Toggle navigation. Use Additional.
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