Comparative Study of Partial Lateral Internal Sphincterotomy versus Manual Dilatation of the Anus in the Treatment of Chronic Fissure-in-Ano
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 3
Abstract
The objective is to compare the result of partial Lateral Internal Sphincterotomy (LIS) and manual dilation of the Anus (MDA) in the treatment of chronic fissure-in-Ano. The material and methods were fifty patients who were randomized to two groups underwent LIS or MDA. The results of these procedure where compare in terms of operating time, difference in effectiveness, duration of hospital Stay, post operative complications and cost effectiveness. In Results During follow up period of 6 months post operatively, 24 patients LIS group and all 25 patients in MDA group had complete healing of anal fissure. The post-operative improvement in pain, bleeding and constipation did not differ significantly between the two groups. In LIS group nearly 50% patients were operated under local anaesthesia and no patient in MDA group was operated under local anaesthesia. Operative time in MDA group was significantly longer that the operative time in LIS group. In LIS group 100% patient were mobilized within 24 hours but in MDA group no patient was ambulated within 24 hours. Anal in continence of flatus and feaces were absent in LIS group and was present 16% cases in MDA group. In Conclusion our opinion, Lateral internal anal sphincterotomy should be procedure of choice for chronic anal fissure because it relieves symptoms and heal the fissure in nearly all patients. The advantages are good symptomatic relief, high rate of healing and good patient satisfaction. It has very few complication and negligible rate of recurrence and incontinence. Keywords: Fissure in Ano, Anal Dilatation, Lateral Anal sphincterotomy.
Authors and Affiliations
Ritesh Mate, Ashok Kumar, Jaikishan Suthar, Ritu Gaur, Mahendra . , Ajay Gandhi
Keywords
Related Articles
- EP ID EP371198
- DOI -
- Views 66
- Downloads 0
Etiology and Clinical Evaluation of Patients with Zygomatic Fractures Referring to Imam Reza Hospital in a 2-year Period
Abstract: The Purpose of this study To document the etiology and clinical data of patients with fractures of the zygomatic complex and to compare the findings with other studies in the literature Patients and Methods: Th...
Determinants and Complications of Pre-Labour Rupture of Membranes (PROM) At the University of Calabar Teaching Hospital (UCTH), Calabar, Nigeria
The management of pre-labour rupture of membranes (PROM) has been a challenging problem for decades in Obstetrics. The pregnancy complications are increased before term because of the increased risk of infection, preterm...
Tranexamic Acid as Anti-Fibrinolytic to Control Blood Loss during Pre and Post Hemiarthoplasty of Trance Cervical Fracture Neck Femur
Major orthopedic surgeries are commonly associated with marked blood loss, which is associated with post operative mortality and morbidity. The causes of bleeding are multifactorial, increased fibrinolytic activity being...
Role of Ultrasonogrphy in Evaluating the Causes of Obstructive Jaundice
Abstract: To observe the role of ultrasonography in evaluation of causes of obstructive jaundice. A total of 100 patients were enrolled in this cross-sectional study done in Department of Radio-diagnosis, Gandhi Medical...
A Profile Study of Allergic Rhinitis at Tertiary Care Centre
A prospective study, of clinical profile of 64 patients of allergic rhinitis, majority, under 10 years of age, is reported. Patients, at first reports, generally, have acquired co-morbidities, needing surgical interventi...