A Comparative Study of Efficiency Between Anal Fissurectomy And Partial Internal Sphincterotomy For Chronic Anal Fissure
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 6
Abstract
One hundred patients with chronic anal fissure were admitted to the surgical wards of S.V.R.R.G.G. Hospital, Tirupati during the period of August 2016 to November 2017, treated by Anal Fissurectomy or Partial Closed Internal Sphincterotomy. These cases were compared regarding the Gender, Age, Mode of presentation, Post operative pain score and recurrence. These patients were followed up for a maximum period of 1 year after ethical committee clearance. The results of treatment were evaluated with reference to post operative complications and recurrence. The Anal Fissurectomy and partial closed internal sphincteromy techniques are effective in treatment of anal fissure and are not significantly different in terms of the occurrence of post-operative complications such as incontinence or soiling, recurrence, and healing rates in patients with Chronic Anal Fissure. Post operative pain was less in partial closed internal sphincteromy technique than in the Anal Fissurectomy technique. Healing was better with a shorter mean duration of stay in the partial closed internal sphincteromy group than in the Anal Fissurectomy group, along with a reduced overall cost burden. There was statistically significant difference between the mean pain score on the visual analog scale at 12 hours and 24 hours after the operation and the duration of hospital stay in two groups. partial closed internal sphincteromy is the treatment of choice for chronic anal fissure and it can be performed effectively and safely with a low rate of complications and a reduced cost burden for the patient. partial closed internal sphincteromy is the treatment of choice for a chronic anal fissure. It can be done under local anesthesia as a day case, effectively and safely with an acceptable rate of complications and less postoperative discomfort
Authors and Affiliations
Dr. G. V. Prakash, Dr. P. Sabitha, Dr. A. Anand Babu, Dr. S. Naga Muneiah
Keywords
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