A Prospective Comparative Study of Chemical Sphincterotomy (Using 2%Diltiazem) And Lateral Internal Sphincterotomy For Chronic Fissure in Ano
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Anal fissure is the most common problem in our day to day practice. This study is a prospective comparative study of chemical sphincterotomy and lateral internal sphincterotomy for the treatment of chronic fissure in ano. Chronic fissure in ano is the failure of fissure to heal for more than 6 months. The aims of this study is to compare the efficacy of these two techniques and their complications. This study helps to decide the better treatment for chronic fissure. Data obtained from 100 patients attending General Surgical Out Patient Department of all units in Govt Mohan Kumaramangalam Medical College Hospital, Salem presenting with chronic anal fissure were subjected to statistical analysis.The subjects were thoroughly examined and subjected randomly by dividing them into two groups of 50 each. One group was subjected to Lateral Internal (Surgical) Sphincterotomy. The other group was subjected to Chemical Sphincterotomy.The outcome of each procedure were assessed during follow up. This study at the end shows results in favor of lateral internal sphincterotomy with healing rate of 100% with faster pain relief and minimal complication. Topical 2% diltiazem gel is an effective agent though there is latency in the clearance of symptoms compared to surgical sphincterotomy. The healing rate of the fissure is much slower compared to surgery. This study concludes that Lateral Internal Sphincterotomy appears to be the better line of treatment as there is 100% healing rate.
Authors and Affiliations
Rajasekar M, Dhanapal P. V.
Keywords
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- EP ID EP600147
- DOI 10.9790/0853-1603093539.
- Views 117
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