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 65
- Downloads 0
Effect of Ambient Temperature and Humidity on Neonatal Body Temperature in Post Natal Wards
Abstract: The primary objective was to study the effect of ambient temperature and season changes on neonatal body temperature in post natal wards and to compare thermal stress prevalence in post natal wards of two diffe...
A Clinical Study of Comparison between General Anesthesia and Spinal Anesthesia for Lower Abdominal Laparoscopic Surgeries
Abstract: Laparoscopic surgery has gained acceptance from both surgical fraternity and the patients. General anesthesia has been the main stay of management in Laparoscopic procedures. Altered respiratory physiology cau...
Association between Plasma Osmolarity and Mortality in Patients Admitted in ICU at IMCHRC, Indore
Abstract: This research aims to explore the association between serum osmolarity and mortality in patients who are admitted in ICU with a specific category of Hyper Glycemia, Uremia & ACS in ICU of Index Medical College,...
Biochemical assays for children infected with Giardia lamblia
Abstract: The objective of this study was to evaluate the possible alteration of serum copper, caeruloplasmin, and iron in children infected with Giardia lambliain various age groups. In Kirkuk, North Iraq, 50 patients i...
Detection and clinical characteristics of Entamoeba histolytica infection among children in Kirkuk-Iraq
Amoebiasis is one of important health problems in developing countries. It is commonly reported among human beings with different frequency of distribution in different parts of the world. The aim of this study was to de...