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The term fibrosis describes the development of fibrous connective tissue as a reparative response to injury or damage. Fibrosis may refer to the connective tissue deposition that occurs as part of. Removal of hypertrophied anal papillae and fibrous polyps improves outcome of anal fissure surgery. Fibrotic connective tissue in parts, with increase in capillary contents. Hypertrophied anal papillae are essentially skin tags that project up from the dentate line, or the junction between the skin and the epithelial lining of the anus. They are often found as part of the classic triad of a chronic fissure, namely the fissure itself, hypertrophied papilla above and a skin tag below2,3. They are also found in isolation, maybe firm and palpable on a. Anal fissure (af) is a common disorder which affects all age groups with an equal incidence in both sexes. Lateral internal sphincterotomy (lis) is considered the gold standard therapy for chronic anal fissure (caf) and relieves symptoms with a high rate of healing and less than 10 long term recurrence. This optimal therapy has, however, been associated with the. Adhesions form as a natural part of the bodys healing process after surgery in a similar way that a scar forms. The term adhesion is applied when the scar extends from within one tissue across to another, usually across a virtual space such as the peritoneal cavity. Adhesion formation post-surgery typically occurs when two injured surfaces are close to one another. Fibromas are benign tumors that are composed of fibrous or connective tissue. The term fibroblastic or fibromatous is used to describe tumors of the fibrous connective tissue. When the term fibroma is used without modifier, it is usually considered benign, with the term fibrosarcoma reserved for malignant tumors. Bougie dilators simple, safe and cost-effective treatment for crohns-related fibrotic anal strictures a nal strictures with fibrotic induration have been shown to develop in up to 50 of all patients with crohns disease (cd) with anal ulcer-ation. How do you soften scar tissue? Scarring has many causes from accidents to acne , surgery, illnesses such as chicken pox, and countless other reasons. Scars can be very embarrassing and can have a negative effect on your self-perception, especially if it is especially rigid or firm and difficult to hide.