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
Related Articles
- EP ID EP376577
- DOI 10.9790/0853-1706087481.
- Views 58
- Downloads 0
A Retrospective Study on Superficial Venous Aneurysms
Phlebectasia, the term used to describe an abnormal saccular or fusiform dilatation of a vein whereas varix strictly implies simple tortuosity of veins. The lower extremities are most commonly involved with the most freq...
Hematological Profile In Cases Of Chronic Renal Diseases.
.
Suicidal deaths in females in and around Kurnool district, Andhra Pradesh.
Suicide refers to an act by which person wishes to be dead, intents to die, and weather directly or through the actions of another person, he or she acts to achieve own death. The study is aimed to provide more insight a...
Haemorheologic And Biochemical Parameters Of Pre-Eclamptic Patients In University Of Calabar Teaching Hospital, Calabar, Nigeria
Pre-eclampsia refers to pregnancy-induced hypertension, a condition characterized by diffuse maternal endothelial dysfunction and a systemic inflammatory response with possible haemorheological changes. This study assess...
Orbital Myocysticercosis: An Unusual Presentation
.