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. 2011 Nov 9;2011(11):CD002199. doi: 10.1002/14651858.CD002199.pub4

Saad 1992.

Methods Randomized controlled trial
Participants Patients with chronic anal fissure
Interventions Anal stretch (37) versus lateral sphincterotomy (20) versus midline sphincterotomy (21)
Outcomes Persistence of the fissure and incontinence to flatus 
 Anal stretch persistence risk = 0.08, incontinence risk 0.24. 
 Lateral sphincterotomy persistence risk = 0.05; incontinence risk = 0.05
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk inadequate
Blinding of outcome assessment (detection bias) 
 All outcomes High risk inadequate
Drop‐outs 
 All outcomes Low risk zero