CHRONIC ANAL FISSURE TREATMENT WITH CONSERVATIVE LATERAL INTERNAL ANAL SPHINCTEROTOMY AND ITS OUTCOME
| Main Author: | Dr. Nazish Sarfraz, Dr. M Shahzeb Aslam, Dr. Aghosh E Gul Chaudhary |
|---|---|
| Format: | Article Journal |
| Bahasa: | eng |
| Terbitan: |
, 2018
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| Subjects: | |
| Online Access: |
https://zenodo.org/record/1407151 |
Daftar Isi:
- Objective: To determine the efficacy of conservative lateral anal sphincterotomy in chronic anal fissure treatment in women. Study design: Quasi-experimental study. Location and duration of work: In the Surgical Department, Lahore General Hospital From January 2017 to December 2017 for one year duration. Patients and methods: All women included broad-based fibrosis fissures, extensive skin signs and failure to heal / recover after chemical sphincterotomy. The patients were operated under spinal anesthesia in the lithotomy position. Lateral internal anal sphincterotomy was performed at 9 o'clock with 1cm removal and skin tags were removed. Data and results were recorded in a pre-designed proforma and results were recorded for pain, complications, healing and relapse. Findings: The total number of patients was 67. The average age was 31. The duration of the symptoms ranged from 2 months to 10 years. Fissures in 52 (77.6%) patients with constipation and 39 (58.2%) cases were associated with the birth of the posterior child. Eighty-two percent of the patients experienced pain relief at 48 hours and complete recovery of the Fissures was achieved at 97.01%. In two patients, transient incontinence of mucosa and flatus occurs. A wound infection developed in one patient and symptoms recurred in two patients after one year of complete recovery. Conclusions: Conservative Internal anal sphincterotomy is a effective and safe method for the treatment of chronic anal fissure, which has conservative side complications and low recurrence rate. Key words: Conservative anal sphincterotomy, Anal fissure, Recurrence, Incontinence.