A Comparative Study of Lateral Sphincterotomy and Sclerosant injection in the Management of Chronic Fissure in ANO

B Saptha Girish; M Bharat Kumar Raju; Ravi Teja P

Volume : X, Issue : II, February - 2020

A Comparative Study of Lateral Sphincterotomy and Sclerosant injection in the Management of Chronic Fissure in ANO

B Saptha Girish, M Bharat Kumar Raju, Ravi Teja P

Abstract :

BACKGROUND: In our institution, the first–line treatment in chronic anal fissures is the injection of a sclerosing agent under the fissure after local anesthesia. This study compares the effectiveness and side effects of sclerosant injection and internal sphincterotomy. METHODS: 60 patients with a chronic fissure in ano were randomly divided into Group 1 (sclerosant) and Group 2 (lateral internal sphincterotomy) with 30 patients in each Group and prospectively studied and compared. RESULTS: The mean duration of healing was comparatively longer in Group 1(5.04 weeks) than Group 2 (3.6 weeks). The patients were completely free from pain in both groups. The complication rate was low (3.3%) : 1 necrosis of the skin and 1 abscess at the site of injection. On Comparison between the two groups, did not show any difference in relief of pain (p= 0.5261) or healing of fissure (p= 0.0679). CONCLUSION: The injection of a sclerosing agent under the fissure is performed in the practitioner‘s clinic. Healing rates are high; complications and recurrences are low. This therapeutic option may be a good alternative to classical treatments in case of anal fissures.