Volume : IX, Issue : VI, June - 2019

CLINICAL ANALYSIS OF NEED FOR INTERVENTION IN FISSURE IN ANO

Dr. G. Santhivardhani, Dr. P. Mallikarjun, Dr. Asmat Jahan

Abstract :

BACKGROUND: An anal fissure is a tear of the squamous epithelium that usually extends from the dentate line to the anal verge. In most of the cases, the fissure manifests in the posterior midline of the anal canal. OBJECTIVES: This study was mainly done to know the need for intervention in individuals with fissure in ano based on history and examination of patients PATIENTS AND METHODS: Study was carried out in Department of General surgery UNIT IV, Osmania General Hospital, Hyderabad, Telangana between July 2018 to December 2018. Hundred patients with clinical diagnosis of Fissure–in–Ano were recorded. All patients were explained about the disease and their treatment plan and followups(3 visits)–1 week,1 month,2 months. Surgical intervention–Lateral internal anal sphincterotomy upto the dentate line was performed. RESULTS:: Of 100 patients,4 patients deferred to participate in the study. Of 84 patients with chronic fissure managed conservatively 52 dint responded and 32 patients responded.These 52 patients were advised surgical management and of them 3 patients deferred to undergo surgery and was advised local botox inj and of them 2 improved and 1 patient dint responded. And remaining 49 patients underwent surgical intervention of them 48 improved and 1 dint responded. CONCLUSION: On analysis,patients who did not respond to conservative management n=55 i.e.,52(chronic fissure–49 with multiple skin tags, hypertrophied anal papillae, visible transverse fibers, multiple fissures and 3 without stigmata)+3(acute fissure).n=50(90%) patients improved with surgical intervention and 1 patient dint responded.Remaining 4 patients deferred from surgery and was given local botox inj of them 3 improved and 1 dint improve.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

CLINICAL ANALYSIS OF NEED FOR INTERVENTION IN FISSURE IN ANO, Dr.G.SANTHIVARDHANI, Dr.P.MALLIKARJUN, Dr.ASMAT JAHAN INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-6 | June-2019

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