A Comparative Study Between Anal Dilatation vs Lateral Anal Sphincterotomy in Cases of Chronic Anal Fissure

Dr. Vismay B. Shukla; Dr. Akash A. Shah; Dr. Daxesh Patel

Volume : VIII, Issue : XI, November - 2019

A Comparative Study Between Anal Dilatation vs Lateral Anal Sphincterotomy in Cases of Chronic Anal Fissure

Dr. Vismay B. Shukla, Dr. Akash A. Shah, Dr. Daxesh Patel

Abstract :

Introduction: Anal Fissure presents with severe pain and bleeding. Surgical management is instituted in treatment resistant cases. Surgical treatment options are Lord’s anal dilatation (AD) and lateral anal sphincterotomy (LAS). Aims and Objectives: To compare AD and LAS to find superior treatment option for chronic anal fissure. Methods: This is a comparative study carried out in SMIMER Hospital,Surat from January 2019 to June 2019 . Total 50 patients of age between 18–50 years were included in the study. Results: In group A, patients underwent AD which has recurrence rate of 17% and anal incontinence of 12.5% . Group B patients underwent LAS. LAS healing rate and improvement in pain, rectal bleeding and constipation was 96%,100% and 88% respectively by 2nd post–op month with no incontinence. Conclusion: LAS has slightly better results in improvement of symptopms. LAS should be preffered treatment option but an option of both these methods should be given to the patient.