Volume : VIII, Issue : III, March - 2019

Lateral internal sphincterotomy in chronic anal fissures: A comparative study between open and closed techniques.

Majid Mushtaque

Abstract :

Background: Anal fissure is a common anorectal pathology causing of severe anal pain and significant morbidity in healthy population. It may be acute or chronic and treated medically and surgically. Objective: To compare the results of open and closed technique of lateral internal sphincterotomy in chronic anal fissure. Material & Methods: A prospective, randomized study compå outcome of open and closed techniques of lateral internal sphincterotomy (LIS) was conducted between January 2014 and December 2018. A total of 240 patients were randomly assigned to each of two groups and the outcomes were statistically compared using chi square test. Results: The mean age of the patients was 36.43 years with male to female ratio of 1:0.92. Most common presenting features were constipation (87.5%) and painful defecation (86.6%). Posterior fissures were seen in 92.5% of cases. The closed technique was significantly better than the open technique of LIS in terms of pain relief and bleeding on defecation in early post–operative period as well as incontinence. However, both techniques were equally effective in terms of infection rates, complete healing of fissures at 6 weeks and recurrence rates. Conclusion: Both methods are effective in the treatment of chronic anal fissure. However, this study showed that closed lateral sphincterotomy is significantly better than open lateral internal sphincterotomy in terms of pain, bleeding and incontinence in early post–operative periods.

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

LATERAL INTERNAL SPHINCTEROTOMY IN CHRONIC ANAL FISSURES: A COMPARATIVE STUDY BETWEEN OPEN AND CLOSED TECHNIQUES., Majid Mushtaque INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-3 | March-2019

Number of Downloads : 147

References :