A Comparitive Study between 2% Diltiazem Application Versus Lateral Sphincterotomy in Fissure in ANO
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 3
Abstract
Introduction: Fissure in Ano is common ailment seen in general population. Various medical treatments are now evolving for this painful condition along with surgical techniques like Lateral sphincterotomy. Increased tone of anal sphincter being the factor for which pharmacological modalities are used. In this study Comparison between 2% Diltiazem application with Lateral Sphincterotomy was done. Material and methods: In this prospective study 80 patients with fissure in a Ano are divided in two groups, Group 1 are advised to apply 2% Diltiazem cream and group 2 undergone Lateral sphincterotomy under anesthesia. Both groups are observed for pain, healing time, bleeding and complications for 6 weeks in government general hospital / Rangaraya medical college Kakinada during period September 2014 to august 2016. Results: fissures were completely healed in 37 patients out of 40 in group 1. Only 3 patients had fissures even after 6 weeks. Conclusion: 2% Diltizem application can be preferred as first line of treatment for acute anal fissures, Lateral Sphincterotomy being reserved for refractory or chronic fissure cases.
Authors and Affiliations
D. Abhivardan, V. V. Sivakumar, K. Rama Rao, K Balaji, M Sujatha, L. Ramu
Keywords
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