Botulinum injection technique to reduce spasms in refractory anal fissures and after anal fistula or hemorrhoid surgery
Pankaj Garg, Vipul D. Yagnik, Kaushik Bhattacharya · 2024
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Description
Pankaj Garg, Vipul Yagnik, and Kaushik Bhattacharya describe a refined way to inject botulinum toxin around the anus to stop painful sphincter spasms, in work from 2024. Such spasms drive stubborn anal fissures and add pain after fistula and hemorrhoid surgery.
Their technique uses 30 units in total, split evenly across four points of the clock face rather than the usual two sites. The dose is diluted to five milliliters and placed in the plane between the sphincters. A minute of gentle digital massage then speeds the effect, which arrives within 24 to 36 hours instead of two to three days. The authors present the method as a stronger second-line option before cutting surgery.
Catalog record
| CREATOR | Pankaj Garg, Vipul D. Yagnik, Kaushik Bhattacharya |
|---|---|
| YEAR | 2024 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 5 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |