A Comparative Study of Maximum Anal Dilatation with Fissurectomy and Lateral Anal Sphincterotomy in the Treatment of Fissure in Ano
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 9
Abstract
Aim: To Prospectively assess and evaluate the results of maximum anal dilatation with fissurectomy v/s lateral anal sphincterotomy among the patients with fissure in ano. Materials and Methods: A prospective comparative study was conducted at Vinayaka Missions Kirupananda Variyar Medical college and Hospital, Salem during the period between June 2013 –June 2015. 50 patients of fissure in ano were included in the study. After getting the written informed consent from the patients 25 patients were treated with maximum anal dilatation with fissurectomy and the other 25 patients had undergone the lateral anal sphincterotomy procedure for the fissure in ano. Results: All the operated patients were followed up for a period of 3 months and the findings seen at the end of 3 months of follow up were bleeding was not present in both the maximum anal dilatation (MAD) with fissurectomy and lateral anal sphincterotomy group whereas all other features like pain, persistent spasm, fecal incontinence and delayed wound healing were present in almost 50% patients in the maximum anal dilatation with fissurectomy group and none of the patients had any of these features in lateral sphincterotomy group and the difference was found to be statistically significant.(p < .0001). Conclusion: In the surgical treatment of chronic anal fissure not responding to conservative management, lateral internal sphincterotomy may be the better Treatment and perhaps the preferable surgical technique with fewer total complications when compared with maximum anal dilatation with Fissurectomy.
Authors and Affiliations
Dr S. Ajay Venkatesh
Keywords
Related Articles
- EP ID EP527705
- DOI -
- Views 74
- Downloads 0
An Unusual presentation of Gastric Gastro intestinal Stromal Tumour: A Case Report
Gastro-intestinal stromal tumours (GIST) are uncommon malignancies of the gastro-intestinal tract and can occur in any part of the alimentary canal , from esophagus to anus. The most common sites of presentation are stom...
Comparison of Outcomes of ACS in Prediabetes and Nondiabetic In a Tertiary Care Centre
Background: Pre diabetes is a definite risk factor in cases of STEMI. This study was aimed to compare various clinical outcomes, coronary angiographic results and incidence of major adverse cardiovascular event (MACE) in...
Case of Brugada Syndrome
In 1992 Brugada et al. described clinical entity associated with ST segment elevation in precordial leads (V1 to V3) with incomplete or complete Right Bundle Branch Block and susceptibility to ventricular tachyarrhythmia...
A Study of Vitamin D Levels in Patients with Acute Myocardial Infarction in a Tertiary Care Hospital in Western India
Introduction: Either independently or in association with other factors low vitamin D is one of risk factors in coronary atherosclerosis athough the causal relationship is not yet established. Aim & Objective: To study t...
Dimon and Hughston Osteotomy with D.H.S Fixation in the Management of Unstable Trochanteric Fractures of Hip
Objective: To evaluate the performance of Dimon-Hughston osteotomy using a dynamic hip screw fixation implant in unstable trochanteric fractures of hip among geriatric patients. Materials and Methods: This study focused...