Lateral Internal Sphincterotomy for Fissure-in-ano

2020 ◽  
pp. 111-113
Author(s):  
Giulio Giambartolomei ◽  
David Gutierrez ◽  
Andrea M. Petrucci ◽  
Giovanna Dasilva
Keyword(s):  
Lateral Internal Sphincterotomy ◽  
Fissure In Ano ◽  
Internal Sphincterotomy

scholarly journals A STUDY OF 100 CASES OF LATERAL INTERNAL SPHINCTEROTOMY FOR FISSURE-IN-ANO

2017 ◽  
Vol 6 (91) ◽  
pp. 6414-6416
Author(s):  
Ravichandran Kailasam Subramaniam ◽  
Jeena Josephine
Keyword(s):  
Lateral Internal Sphincterotomy ◽  
Fissure In Ano ◽  
Internal Sphincterotomy

scholarly journals A comparison of segmental internal sphincterotomy versus lateral internal sphincterotomy in management of chronic fissure in ano

2017 ◽  
Vol 4 (9) ◽  
pp. 3044
Author(s):  
Anil M. Kad ◽  
Murtaza Akhtar ◽  
Rajiv Sonarkar ◽  
Divish Saxena ◽  
Kanav Kumar ◽  
...  
Keyword(s):  
Anal Incontinence ◽  
Internal Sphincter ◽  
Lateral Internal Sphincterotomy ◽  
P Value ◽  
Fissure In Ano ◽  
Lateral Sphincterotomy ◽  
Female Ratio ◽  
Internal Sphincterotomy ◽  
Perianal Sepsis ◽  
Surgical Modality

Background: Fissure in ano is one of the commonest benign and painful proctologic condition encountered in surgical practice treated by conservative line of management. Lateral sphincterotomy is the ideal treatment option for chronic refractory fissure in ano. A newer modality segmental internal sphincterotomy shows good promise in terms of early resolution of symptoms, fissure healing and prevention of anal incontinence involving division of the internal sphincter at two different levels.Methods: In comparative nonrandomized trial patients with chronic fissure in ano satisfying the inclusion and exclusion criteria were allocated to lateral sphincterotomy and segmental internal sphincterotomy groups. The outcome factors were perianal sepsis, pain relief using VAS as assessed on passing the first motion, duration of healing of fissure, assessment of incontinence using Wexner’s continence score on 30th post-operative day.Results: A total of 54 cases were enrolled, of them 31 patients underwent lateral internal sphincterotomy and 23 underwent segmental internal sphincterotomy with the mean age of patient was 34.76 years and a male to female ratio of 1.07:1. The pain score (VAS) on passing stool for the first time postoperatively was 4.5 with lateral sphincterotomy and 3.91 with segmental internal sphincterotomy which was statistically significant (P value < 0.010). The duration of postoperative healing was observed to be 27.94 days and 28.09 days in lateral sphincterotomy and segmental internal sphincterotomy group respectively. The post-operative anal incontinence was evaluated by using Wexner’s continence grading after one month which was not statistically significant between two groups.Conclusions: Segmental internal sphincterotomy could be a good surgical modality with its healing effect on fissure in ano and post-operative complications which are similar to standard lateral internal sphincterotomy.

scholarly journals A Comparative Study of Efficacy of Outcome of Lateral Internal Sphincterotomy versus Subcutaneous Fissurectomy in Chronic Fissure in Ano

2020 ◽  
Vol 3 (1) ◽  
pp. 59-63
Author(s):  
Suryanaryana Reddy V ◽  
Ravindra Prasad B ◽  
Ram Mohan C ◽  
Vamshi Chandra B ◽  
Satya Dev
Keyword(s):  
Comparative Trial ◽  
Lateral Internal Sphincterotomy ◽  
P Value ◽  
Fissure In Ano ◽  
Painful Condition ◽  
Anal Region ◽  
Internal Sphincterotomy ◽  
Number Of Patients ◽  
Significant Difference ◽  
The Mean

Background: Fissure-in-ano is a very common problem across the world which causes considerable morbidity and affects the patient’s quality of life to a greater extent. Anal fissure is a common painful condition affecting the anal canal. The main aim of study was to compare the efficacy of outcome of subcutaneous fissurectomy versus lateral internal sphincterotomy in chronic fissure in Ano. Subjects and Methods: The study was a prospective, parallel group, comparative trial. The study was conducted at Department of General Surgery, Chalmeda AnandRao Institute of Medical Sciences, Karimnagar. The number of patients included in the study was 50. Patients were divided into lateral internal sphincterotomy groups and subcutaneous fissurectomy groups. Patients were followed up regularly for relief of symptoms i.e., pain in the anal region and bleeding from anal region and for complications like incontinence; duration of sitz baths and number of work days lost. Results: The mean age group in the present study was 38.24  9.96 for subcutaneous fissurectomy and 39.2  10.4 for lateral internal sphincterotomy; there was no significant difference in the mean age in either of the groups with P value > 0.05. Conclusion: The current study shows results in favor of subcutaneous fissurectomy with a healing rate of 100% with faster pain-relief and minimal or no complications if performed by the hands of an experienced surgeon.

scholarly journals Comparative study of lateral Internal Sphincterotomy verses Topical Glyceryl Trinitrate for treatment of fissure-in-Ano

2016 ◽  
Vol 9 (4) ◽  
Author(s):  
Ajmal Farooq ◽  
Zahid Niaz
Keyword(s):  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
Symptomatic Improvement ◽  
Lateral Internal Sphincterotomy ◽  
Fissure In Ano ◽  
Internal Sphincterotomy ◽  
Group A ◽  
Topical Glyceryl Trinitrate ◽  
Group B

This prospective randomized interventional study was carried in one of surgical unit of Lahore General Hospital Lahore from 1st January 2002 to 30, December 2002 a total number of 100 patients with both acute and chronic anal fissure were taken and randomly divided in two groups. Group A was treated with 0.2% GTN for 6 weeks and Group B was treated with lateral internal closed Sphincterotomy a follow up after 0, 2nd, 61h weeks and even after 6 months carried out. Peak incidence of disease was observed between 30 and 40 years of age with 56 males and 44 females. 24% patients were with acute fissure and 76% with chronic fissure. In this study with 0.2% GTN overall healing rate of 66.66% for acute fissure and 63.15% for chronic anal fissure was observed. GTN was found less effective in healing the fissure but some what good for initial symptomatic improvement in its comparison 100% healing was observed with lateral internal sphincterotomy with only 10% transient incontinence for flatus. So it was concluded that lateral internal sphincterotomy is superior to GTN and is the procedure of choice for fissure in ano.

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