Volume : VI, Issue : IX, September - 2017

WHETHER SURGERY ACTUALLY NEEDED FOR FISSURE IN ANO?

Dr. Sudhir Shinde, Dr. Prashant H. Salvi

Abstract :

 Aim: To evaluate conservative management as first line of management   for fissure in ano

Objective: 1–To study the efficacy of conservative management and                                 operative management

MATERIAL AND METHODS: 200 patients with symptoms of fissure in ano studied. Detailed history and thorough clinical examination of these patients was carried out. Conservative management with 0.3% nifedipine was used for local application and response assessed once every two weeks for a total of six months. Visual analogue scoring was used to assess pain. Lateral sphincterotomy was performed on patients not responding to conservative management.

RESULT: A total of 190 patients conservatively managed of which 11 had recurrence of symptoms. Ten patients needed surgery.

CONCLUSION: 0.3% nifedipine therapy should be advocated as the first line of treatment for anal fissures, cost effective treatment and surgery restricted for cases resistant to medical management 

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Dr. Sudhir Shinde, Dr. Prashant H. Salvi, WHETHER SURGERY ACTUALLY NEEDED FOR FISSURE IN ANO?, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-6 | Issue-9 | September-2017

Number of Downloads : 293

References :