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Anal Examination Under Anesthesia and Botox Injection for Chronic Anal Fissures

Jennifer Shearer, MD; Brooke Gurland, MD, FACS
Stanford University School of Medicine

1. Introduction

2. Botox Preparation

3. Anal Examination Under Anesthesia

4. Botox Injection

5. Final Inspection of Fissures

  1. Mucosal Approximation

6. Post-op Local Anesthetic

7. Post-op Remarks