COMPARISON OF LATERAL SUBCUTANEOUS SPHINCTEROTOMY WITH ANAL DILATATION IN THE TREATMENT OF FISSURE IN ANO

Objective: To compare the two surgical procedures performed for the treatment of fissure in ano. Design: Clinical trial Setting: Surgical Unit-III, Sir Ganga Ram Hospital, Lahore. Subjects and Methods: Sixty female patients coming to the out door and emergency department of Sir Ganga Ram Hospital, were included in the study. Thirty patients had oper lateral internal sphincterotomy (LIS) and 30 had anal dilatation (AD). Results: LIS was associated with remarkably to incidence of post operative complications. The patients undergoing AD had more pain and bleeding per rectum in the postoperative period. Anal incontinence was seen in 59.6% of patients, prolapse of haemorrhoids in 40% and recurrence in 6,6%) operated for AD, while the corresponding figures for LIS were 6.6%, 10% & 0% respectively (p<0.05). Conclusion: LIS is a superior procedure to AD for the surgical treatment of fissure in ano. LIS should be adopted as a procedure of choice in uncomplicated fissure in ano.

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Comparative study of Ksharasutra suturing and Lord′s anal dilatation in the management of Parikartika (chronic fissure-in-ano)

AYU (An International Quarterly Journal of Research in Ayurveda) ◽

10.4103/0974-8520.146219 ◽

2014 ◽

Vol 35 (2) ◽

pp. 141 ◽

Cited By ~ 1

Author(s):

TukaramS Dudhamal ◽

MadhavSingh Baghel ◽

Chaturbhuja Bhuyan ◽

SanjayKumar Gupta

Keyword(s):

Comparative Study ◽

Anal Dilatation ◽

Fissure In Ano

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Graded therapeutic approach to fissure in ano: study of 50 cases

International Surgery Journal ◽

10.18203/2349-2902.isj20195102 ◽

2019 ◽

Vol 6 (11) ◽

pp. 3951

Author(s):

Ketan Vagholkar

Keyword(s):

Conservative Treatment ◽

Daily Living ◽

Age Groups ◽

Positive Outcome ◽

Surgical Approaches ◽

Multimodal Approach ◽

Anal Dilatation ◽

Fissure In Ano ◽

Therapeutic Algorithm ◽

Single Modality

Background: Fissure in ano is one of the commonest disease affecting all age groups. The condition is quite painful leading to interference in activities of daily living. A wide variety of modalities ranging from medical to surgical approaches have been proposed. However no single modality can be called the gold standard of treatment. Hence the need to develop an optimum graded approach to manage the condition.Methods: Fifty consecutive cases of fissure in ano presenting in an acute state were studied prospectively to develop a therapeutic algorithm for rational treatment of the painful condition.Results: Conservative treatment was commenced in all cases. Eighteen required anal dilatation while out of these eighteen patients, ten required sphincterotomy despite anal dilatation. Four patients had recurrence of symptoms despite all surgical treatments.Conclusions: Conservative treatment still has a significant and positive outcome in fissure in ano. Anal dilatation and sphincterotomy are the next options of treatment. Therefore a graded multimodal approach is therapeutic in treating fissure in ano.

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