scholarly journals CLOSED VERSUS OPEN LATERAL INTERNAL SPHINCTEROTOMY IN TREATMENT OF CHRONIC ANAL FISSURE; A COMPARATIVE STUDY OF POSTOPERATIVE COMPLICATIONS & OUTCOME. 24

2010 ◽  
Vol 16 (1) ◽  
pp. 0-0
Author(s):  
Mazin H Al-Hawaz ◽  
Akeel A kataa
Keyword(s):  
Postoperative Complications ◽  
Comparative Study ◽  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
Lateral Internal Sphincterotomy ◽  
Internal Sphincterotomy

scholarly journals Closed lateral Internal Sphincterotomy under local anesthesia in OPD in the treatment of chronic Anal Fissure

2016 ◽  
Vol 10 (1) ◽  
Author(s):  
Naved Ahmad ◽  
Muzaffar Aziz ◽  
Faizullah .
Keyword(s):  
Postoperative Complications ◽  
Anal Fissure ◽  
Local Anesthesia ◽  
Local Anaesthesia ◽  
Chronic Anal Fissure ◽  
Dentate Line ◽  
Lateral Internal Sphincterotomy ◽  
Internal Sphincterotomy ◽  
Operative Complications

Objective of this study is to provide best therapy in terms of hospital stay and post operative complications after closed lateral internal sphincterotomy under local anaesthesia in the treatment of chronic anal fissure. It is descriptive type of study carried out at Nishtar Hospital Multan, from February 2001 to April 2001. Thirty patients underwent closed lateral internal sphicterotomy in local anaesthesia in OPD. Internal anal sphincter divided up to dentate line by introducing no.11 surgical blade in the intersphicteric groove. Pts were allowed to go home just after the surgery. Follow up for complications was done for the period of 6months. Mean postoperative stay was for 12 minutes. Postoperative complications were soiling (6.6%), incontinence to flatus (3.3%) and recurrence (3.3%). CLIS can be done safely under local anesthesia in OPD with low complication rate and less postop period of stay.

scholarly journals A comparative study between lateral internal anal sphincterotomy and botulinum toxin injection in the treatment of chronic anal fissure

2021 ◽  
Vol 25 (2) ◽  
pp. 513-519
Author(s):  
Abdulqadir Zngana ◽  
Bawan Hiwa
Keyword(s):  
Botulinum Toxin ◽  
Comparative Study ◽  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
Botulinum Toxin Injection ◽  
Lateral Internal Sphincterotomy ◽  
Internal Sphincterotomy ◽  
Hospitalization Period ◽  
Prospective Comparative Study ◽  
Group B

Background and objective: The gold standard for the treatment of chronic anal fissure is lateral internal sphincterotomy. Botulinum toxin injection provides temporary alleviation of sphincter spasm and allows the fissure to heal. This study aimed to compare the outcomes of lateral internal sphincterotomy and botulinum toxin injection treatments in patients with uncomplicated chronic anal fissure. Methods: A prospective comparative study was carried out at the surgical unit of Erbil teaching hospital, Erbil, Kurdistan Region of Iraq, from January 2017 to February 2018. Fifty-five patients were enrolled in this study. Five patients were excluded, and the remaining 50 patients were equally divided into two groups. Group A was managed with lateral internal sphincterotomy and group B with botulinum toxin. Postoperative pain relief, bleeding, fissure healing, incontinence, and relapse after six weeks and three months of follow-up were compared. Results: One month after treatment, 12% of the lateral internal sphincterotomy group had bleeding, while none of the botulinum toxin group (P = 0.234). Two patients (8%) of the lateral internal sphincterotomy group had pain while one (4%) of the botulinum toxin group (P >0.999).Three months after treatment, 4% of the lateral internal sphincterotomy group had bleeding, while none of the botulinum toxin group (P >0.999). None of the lateral internal sphincterotomy group had pain while one (4%) of the botulinum toxin group (P >0.999). Regarding healing, 96% of the lateral internal sphincterotomy group healed, while 92% in the botulinum toxin group (P >0.999). Conclusion: The outcome of lateral internal sphincterotomy and botulinum toxin were nearly the same, but lateral internal sphincterotomy required hospitalization, period off work, and risk of anesthesia. These risks were absent in botulinum toxin injection. Keywords: Chronic anal fissure; Lateral internal sphincterotomy; Botulinum toxin; Complications.

scholarly journals Open lateral internal sphincterotomy safe option for chronic anal fissure. A clinical study

2021 ◽  
Vol 28 (02) ◽  
pp. 137-140
Author(s):  
Muhammad Bilal ◽  
Viqar Aslam ◽  
Waqas Jan ◽  
Zaheer
Keyword(s):  
Clinical Study ◽  
Postoperative Complications ◽  
Anal Fissure ◽  
Chronic Anal Fissure ◽  
Lateral Internal Sphincterotomy ◽  
Local Data ◽  
Chi Square ◽  
Internal Sphincterotomy ◽  
Chi Square Test

Objectives: To provide local data regarding the postoperative complications, pain, anal incontinence and recurrence after lateral internal sphincterotomy for chronic anal fissure. Study Design: Clinical Study. Setting: DHQ Charsadda. Period: May 2017 to December 2019. Material & Methods: It was done on 230 chronic anal fissure patients who had underwent prior conservative treatment. Surgery for all patients was carried out under General anaesthesia with open sphincterotomy. Postoperative follow up was carried till 6 months. Data were collected and analysis by using SPSS version 23. Chi square test was used to compare at level of significance <0.005. Results: Mean age of patients was 37.50 ± 7.28 years. Female presented with more postoperative complications than male but differences were statistically not significant. At the end of 6th months follow up period we observed that significantly higher numbers of patients were satisfied (91.4%) with a healing rate of (93.8%). Conclusion:  LIS is treatment of choice for chronic anal fissure.

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