{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:45:09Z","timestamp":1756385109315},"reference-count":2,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[1983,1,1]],"date-time":"1983-01-01T00:00:00Z","timestamp":410227200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1983,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Patients presenting with acute anal fissure were randomized into two treatment groups in a prospective clinical trial. Both groups received treatment for 3 weeks with a stool softener and lignocaine jelly. Those entered in group 1 (35 patients) were asked in addition to insert an anal dilator (no. 2) twice daily while those in group 2 (31 patients) applied the anaesthetic jelly without a dilator. At 6 weeks 11 (31\u00b74 per cent) patients in group 1 and 12 (38\u00b77 per cent) patients in group 2 had been referred for sphincterotomy owing to failure of the treatment. At 6 months this figure had risen to 14 (40 per cent) in group 1 and 15 (48\u00b74 per cent) in group 2. This difference was not statistically significant, suggesting that the addition of a dilator to the conservative treatment regimen did not diminish the likelihood of surgery.<\/jats:p>","DOI":"10.1002\/bjs.1800700109","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T22:59:26Z","timestamp":1172876366000},"page":"25-26","source":"Crossref","is-referenced-by-count":48,"title":["The anal dilator in the conservative management of acute anal fissures"],"prefix":"10.1093","volume":"70","author":[{"given":"P","family":"McDonald","sequence":"first","affiliation":[{"name":"St Mark's Hospital , City Road, London EC1V 2PS"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A M","family":"Driscoll","sequence":"additional","affiliation":[{"name":"St Mark's Hospital , City Road, London EC1V 2PS"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R J","family":"Nicholls","sequence":"additional","affiliation":[{"name":"St Mark's Hospital , City Road, London EC1V 2PS"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1983,1,1]]},"reference":[{"key":"2024092714553615100_bib1","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1002\/bjs.1800640516","article-title":"Fissure-in-ano: the initial management and prognosis","volume":"64","author":"Lock","year":"1977","journal-title":"Br. J. Surg."},{"key":"2024092714553615100_bib2","volume-title":"Principles and Practice of Rectal Surgery","author":"Gabriel","year":"1948","edition":"4th"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800700109","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/70\/1\/25\/59374680\/bjs1800700109.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/70\/1\/25\/59374680\/bjs1800700109.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,27]],"date-time":"2024-09-27T14:56:01Z","timestamp":1727448961000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/70\/1\/25\/6181727"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1983,1,1]]},"references-count":2,"journal-issue":{"issue":"1","published-online":{"date-parts":[[1983,1,1]]},"published-print":{"date-parts":[[1983,1,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800700109","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"type":"print","value":"0007-1323"},{"type":"electronic","value":"1365-2168"}],"subject":[],"published-other":{"date-parts":[[1983,1]]},"published":{"date-parts":[[1983,1,1]]}}}