Background: The anal fissure is frequently seen in surgical practice. It is caused by a longitudinal tear in the anoderm distal to the dentate line. The hallmark feature of the disease is severe pain during defecation. Chronic anal fissure (CAF) causes undue stress that leads to poor quality of life. Different options of treatment, whether medical or surgical, are employed to treat this condition. One of these modalities is lateral internal anal sphincterotomy (LIAS).
Objectives: We aimed to assess the safety and efficacy of the LIAS surgical procedure for the treatment of CAF.
Materials and methods: This retrospective study was conducted at the Al-Muqdadiya General Hospital, Diala, Iraq, for a period from January 2016 to March 2021. The medical records of the patients with CAF who were subjected to LIAS under local anesthesia were reviewed. Data regarding the age, gender, smoking habit, body mass index (BMI), healing time, complications, and outcome for each participant were recorde
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a voluntary evacuation. we ll bring you a live report on that story at the top of the hour. now, this morning we have new video of the fierce battle to retake ramadi from isis fighters. and the constant bombing that s left the city in ruins. iraqi officials say progress is slow as isis has left behind booby traps and ieds improvised explosive devices, but they predict iraqi troops are very close to retaking the city completely. the enemy began to fall apart. the city is being surrounded by 360 degrees. we are only about one kilometers from the government compound. cnn correspondent robyn kriel brings us the latest information on this. robyn? reporter: this push to reclaim ramadi city s center began in earnest on tuesday. iraqi security forces now claim to be within blocks of the main government compound that is isis s stronghold. defense officials claim they control about three-quarters of
fight. if they were to retake the city, this would be a key strategic victory, also a major boost for moral as well. yes, from what we understand, boris the iraqis took umberance, the people in ramadi fighting until they ran out of ammunition. they said they did not have the support from the central deposit in baghdad and the united states and it does seem that both the united states and backed, having spent a number of its troops down to, sending iraqi troops to fight, including the elite counterterrorism force to fight for this new war that they do have some kind of renewed vigor, here s what we know that happened in the last 24 hour hours, boris. the rake government forces claim to have regained some areas of
especially off the november 13th attacks in which isis claimed responsibility. robin, cnn has heard from iraqi officials, they may have to slow the operation down for fear civilians may be put at risk. why, specifically? reporter: boris, there is stills up to 10,000 civilians that remain inside ramadi city. they were warned be i the iraqi government to try to leave the city. this assault was coming. however, isis stopped them from leaving and prevented them from leaving. we are hearing isis will use them as a human shield. 250 isis fighters remaining in the city. obviously, these troops going in are having to take this very, very slowly to try to minimize civilian casualties to got get them killed in the cross fire. also, it s moving slowly, isis had the last sevens to rick the city for this exacttime type of assaults.
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