PLAB Question 2

A 35 year old male has a chronic anal fissure.

This is typically managed by

a) resection of the sigmoid colon
b) right hemicolectomy
c) left hemicolectomy
d) transverse colectomy
e) internal sphincterotomy
f) CT guided drainage
g) diverticulectomy
h) transverse colostomy
i) chemotherapy and radiatiotherapy
j) abdominal perineal resection




ANSWER

The correct answer is E


Explanation

Chronic fissures are managed by subcutaneous or open lateral internal sphincterotomy, posterior internal sphincterotomy with advancement flap, or manual dilatation

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