scholarly journals Is open lateral anal sphincterotomy really a safe and satisfactory treatment option for refractory chronic anal fissures? - a prospective study

2019 ◽  
Vol 7 (6) ◽  
pp. 2307
Author(s):  
Shabir Ahmad Mir ◽  
Zubair Gull Lone ◽  
Waseem Ahmad Dar ◽  
Mumtazdin Wani
Keyword(s):  
Prospective Study ◽  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
Muslim Women ◽  
Chronic Stage ◽  
Anal Fissures ◽  
Medical College ◽  
Male Ratio ◽  
Female Predominance ◽  
A Prospective Study

Background: Chronic anal fissure is a familiar entity in surgical outdoor departments of hospitals in our valley. The muslim women are usually reluctant to expose their anal canal related pathologies to male surgeons, letting anal fissures to reach the chronic stage. Under this background, the present study was conducted to look for the feasibility of lateral anal sphincterotomy in the management of chronic anal fissure in our patients.Methods: This prospective study was carried out over a period of 3 years in the unit 2nd of department of surgery at SMHS (Shri Maharaja Harisingh) hospital, an associated hospital of Government Medical College Srinagar. During this period, 59 patients presented to the outpatient department with typical chronic anal fissures and were included in this study.Results: Fifty-nine patients, diagnosed on clinical evaluation as chronic anal fissure were included in this study. The age varied from 19 to 58 years with mean age of 36.38±7.14 (SD= 7.14) years. There was a female predominance, with a female to male ratio of 2.1:1. Fifty-two (88.1%) patients had posterior midline fissure and 7 (11.8%) patients had an anterior anal fissure. Thirty-one patients were not satisfied with the conservative treatment and insisted for surgical management. All 31 patients were managed by open lateral anal sphincterotomy.Conclusions: Lateral anal sphincterotomy (LAS) is a safe and effective method of management for chronic refractory anal fissures. The complications are minimal and negligible.

Variation in Clinical, Manometric and Endosonographic Findings in Anterior Chronic Anal Fissure: A Prospective Study

2007 ◽  
Vol 53 (1) ◽  
pp. 21-26 ◽  
Author(s):  
Marta Pascual ◽  
David Parés ◽  
Miguel Pera ◽  
Ricard Courtier ◽  
Maria José Gil ◽  
...  
Keyword(s):  
Prospective Study ◽  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
A Prospective Study

Simple Cutaneous Advancement Flap Anoplasty for Resistant Chronic Anal Fissure: A Prospective Study

2009 ◽  
Vol 33 (5) ◽  
pp. 1058-1063 ◽  
Author(s):  
Pasquale Giordano ◽  
Gianpiero Gravante ◽  
Pietro Grondona ◽  
Boris Ruggiero ◽  
Theresa Porrett ◽  
...  
Keyword(s):  
Prospective Study ◽  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
Advancement Flap ◽  
A Prospective Study

scholarly journals Advancement flap in the management of chronic anal fissure: a prospective study

2012 ◽  
Vol 64 (2) ◽  
pp. 101-106 ◽  
Author(s):  
Rosalia Patti ◽  
Giovanni Guercio ◽  
Valentina Territo ◽  
Paolo Aiello ◽  
Giuseppe Livio Angelo ◽  
...  
Keyword(s):  
Prospective Study ◽  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
Advancement Flap ◽  
A Prospective Study

Medical and Surgical Treatment of Chronic Anal Fissure: A Prospective Study

2007 ◽  
Vol 11 (11) ◽  
pp. 1541-1548 ◽  
Author(s):  
Pierpaolo Sileri ◽  
Alessandra Mele ◽  
Vito M. Stolfi ◽  
Michele Grande ◽  
Giuseppe Sica ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Prospective Study ◽  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
A Prospective Study

Long-Term Results of “Chemical Sphincterotomy” for Chronic Anal Fissure: A Prospective Study

2006 ◽  
Vol 49 (6) ◽  
pp. 858-864 ◽  
Author(s):  
Joseph Lysy ◽  
Eran Israeli ◽  
Sharon Levy ◽  
Gloria Rozentzweig ◽  
Nourit Strauss-Liviatan ◽  
...  
Keyword(s):  
Prospective Study ◽  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
Long Term Results ◽  
Chemical Sphincterotomy ◽  
A Prospective Study

scholarly journals A Prospective Study to Observe the Results and Complications of Lateral Internal Sphincterotomy in Anal Fissure

2015 ◽  
Vol 2 (2) ◽  
pp. 81
Author(s):  
Sandesh Pawar ◽  
Sudhir D. Bhamre ◽  
Vijay Malpathak ◽  
Yamini Sorate
Keyword(s):  
Anal Fissure ◽  
Care Center ◽  
Time Frame ◽  
Lateral Internal Sphincterotomy ◽  
Health Care Center ◽  
Internal Sphincterotomy ◽  
Medical College ◽  
A Prospective Study ◽  
Surgery Department

<strong>Aim</strong>: To observe the results and complications of lateral internal sphincterotomy in anal fissure. <strong>Materials&amp;Methods:</strong> The study was carried out as a prospective observational study of 40 patients at surgery department of a medical college&amp;tertiary health care center, over a period of two years that included cases of anal fissure in the age group of 16 years and above for conservative&amp;surgical management. <strong>Results</strong>: The recovery of the patient after this marvellous operation was fast and the pain relief was dramatic. On follow-up at 2 weeks post-operatively pain and other symptoms were present only in 11 patients (27.5%). On follow-up at 8 weeks post-operatively all 40 patients (100%) were symptom-free in this study. The complications that were observed within time frame of this study were Soiling in 4 patients (10%) and incontinence to flatus in 1 patient (2.5%). There was no recurrence of anal fissure observed in this study group within the time frame of this study. <strong>Conclusion</strong>: It is very evident from the above study that 'Lateral Internal Sphincterotomy' is by far the best operation for an indolent anal fissure.

scholarly journals Comparative study between endoscopic cartilage myringoplasty and endoscopic temporalis fascia myringoplasty

2018 ◽  
Vol 5 (1) ◽  
pp. 24 ◽  
Author(s):  
P. Chozhan ◽  
M. Sankara Subramanian ◽  
D. Kannathal ◽  
R. Malarvizhi
Keyword(s):  
Comparative Study ◽  
Prospective Study ◽  
Temporalis Fascia ◽  
Ear Surgery ◽  
Medical College ◽  
The World ◽  
Prospective Comparative Study ◽  
Patient Series ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Myringoplasty is a common ear surgery performed all over the world. This study is focused on prospective comparative study using two different graft materials.</p><p class="abstract"><strong>Methods:</strong> This was a prospective study done in the Department of ENT Stanley Medical College, Chennai during the period from March 2013 to September 2013. Sample size was 60 patients. Follow up was done till 6 months.  </p><p class="abstract"><strong>Results:</strong> Graft acceptance was achieved in 28 patients (93%) who underwent palisade cartilage myringoplasty, whereas it was achieved in 24 patients (80%) in the temporalis fascia myringoplasty group.</p><p class="abstract"><strong>Conclusions:</strong> The outcomes in our patient series indicate that cartilage myringoplasty achieves good results. Cartilage, a very effective material for the reconstruction of the TM and grafts can provide an excellent anatomical result, perfect stability and good functional outcome.</p>

ESTIMATION OF FETAL WEIGHT BY CLINICAL METHODS AND ULTRASOUND AND CORRELATING ITS ACCURACY WITH ACTUAL BIRTH WEIGHT IN TERM PREGNANCIES AT ANMMCH, GAYA, BIHAR

2021 ◽  
pp. 17-19
Author(s):  
Kumari Ragini ◽  
Amit Kumar ◽  
Reena Kumari ◽  
Debarshi Jana
Keyword(s):  
Birth Weight ◽  
Prospective Study ◽  
Fetal Weight ◽  
Term Pregnancy ◽  
Abdominal Girth ◽  
Medical College ◽  
Obstetrics And Gynaecology ◽  
Clinical Methods ◽  
Fetal Birth Weight ◽  
A Prospective Study

Objective:This study was to estimate the fetal weight in term pregnancy by clinical methods and ultrasound and to compare the results with actual birth weight (ABW). Material and Methods:This study was conducted at Department of Obstetrics and Gynaecology, Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar from December 2019 to May 2020. It was a prospective study covering 200 pregnant women at term gestation. Results: Estimated birth weight by abdominal girth × symphysis fundal height (AG × SFH) formula was closest to the ABW (P = 0.060), as compared to the estimated birth weight by Johnson's formula (P = 0.000) and Hadlock's formula (P = 0.000). Therefore, of the three formulae studied, AG × SFH formula had better predictive value as compared to Johnson's and Hadlock's formulae. The accuracy of AG × SFH (Insler's formula) for estimating the fetal weight at term was found to be comparable to Hadlock's formula (P= 0.104). Conclusion: Clinical estimation of birth weight denitely has a role in the management of labor and delivery. AG × SFH is a simple, easy, costeffective, and universally applicable method to predict fetal birth weight which can be used even by paramedics like midwives and also in centers where ultrasound is not available.

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