|
Cranford Technique - Protocol Specs
The Cranford Technique is a treatment for anal fissure disease developed
over a period of 32 years of clinical practice by Dr. Steven G. Cranford.
Briefly, it consists of this sequence : (1) anal dilation, (2) fissurectomy,
(3) 30 day use of nitroglycerine 0.2% ointment, (4) necessary dietary
changes, and (5) a minimum of 40 days of Col-Eze (Dr. Cranford's
stool softener/ bowel cleanser).
The principal but very distinct difference of this technique is
step one, which is anal dilation (Lord or
Recamier technique), a gentle but very necessary
stretching of the anal canal to increase
its diameter and to break the mysterious
neurological relationship between the internal
sphincter muscle and actual anal fissure.
Proctologists have generally cut/severed
the internal sphincter muscle (lateral internal sphincterotomy or
LIS) which totally disrupts this muscle and at times will render
the muscle ineffective and lead to post-operative leakage or wet
anus syndrome.
The Cranford Technique totally preserves the integrity of both the
internal and external sphincter muscle groups with no risk of incontinence
or loss of control. This is followed by removal of the actual ulceration
in the anal canal (the fissure) and changing a V shaped ulcer into
a U shaped small wound that can over time granulate and fill in with
normal tissue.
At this time it is also very important to remove any other co-existing
pathology associated with anal fissure disease (hypertrophied
anal papillae, sentinel pile Brodie, skin
tags, etc). This is followed up with a 30-day use of a 0.2% nitroglycerine
ointment (2-3 times daily), appropriate dietary changes and the use
of Dr. Cranford's product, Col-Eze (stool
softener/ bowel cleanser).
The patient discussion of this protocol can be found here.
About Dr. Cranford
When To Seek Help
Are You In Pain?
Hemorrhoids
|
