Fissure of the Anus and Fistula in Ano

"Fissure of the Anus and Fistula in Ano" by Lewis H. Adler, Jr. is a medical treatise written in the late 19th century. This work provides a comprehensive overview of two specific rectal conditions: anal fissures and fistulas in the anal region. It addresses their definitions, symptoms, causes, diagnostic methods, and treatment options, making it a resource for medical professionals interested in these often overlooked afflictions. The opening of the book sets the stage by discussing the intense suffering associated with anal fissures, characterizing them as painful superficial injuries located near the anal region, predominantly affecting adults, and often more common in women. Adler elaborates on the anatomy and nerve supply of the area, explaining how these factors contribute to the pain experienced by patients. Further, he emphasizes common neglect towards rectal health from both patients and practitioners due to stigma and lack of knowledge, and he expresses his hope that this treatise will raise awareness about these conditions among the medical community.