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Be the first to review this item. Write a customer review. A review of chronic anal fissure management. A rectal speculum combining both a direct and a lateral view without removal and reinsertion of the speculum is of advantage both in examining the rectum and in operative work. Overall, we discourage fissurectomy in combination with lateral internal sphincterotomy, because it may lead to higher rates of incontinence. Lisa Tiffian's horney slutty ass and pussy both get fisted at the same time for a fisting DP.
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Topography of the inferior rectal artery: Who People and organizations associated with either the creation of this patent or its content. Botulinum toxin for recurrent anal fissure following lateral internal sphincterotomy. Close the incision with a chromic catgut suture in a running fashion see the image below. Most Popular Articles According to Gastroenterologists. Your recently viewed items and featured recommendations.
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There is a great deal of controversy regarding the use of botulinum toxin for the treatment of anal fissures. Visit the Delivery Destinations Help page to see where this item can be delivered. Add to watch list Remove from watch list. See all condition definitions - opens in a new window or tab Get the item you ordered or your money back. Staff Management Capital Planning and Services.
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