Open Versus closed Lateral Internal anal Sphincterotomy in the Management of Chronic anal Fissures: A Prospective Randomized Study

Gupta, Vivek and Rodrigues, Gabriel and Prabhu, Raghunath and Ravi, Chandni (2014) Open Versus closed Lateral Internal anal Sphincterotomy in the Management of Chronic anal Fissures: A Prospective Randomized Study. Asian Journal of Surgery. pp. 1-6.

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Abstract

Summary Objective: Chronic anal fissure is a benign disorder that is associated with consid-erable discomfort. Surgical treatment in the form of lateral sphincterotomy has long been re-garded as the gold standard of treatment. This study compared the open and closed techniques of lateral sphincterotomy in terms of their postoperative outcomes. Methods: A prospective, randomized comparative study was conducted between October 2010 and August 2012. A total of 136 patients were randomly assigned to each of two groups. Pa-tients were followed up postoperatively for more than 1 year to assess any complications. The outcomes were compared among the two groups using the Chi-square test and Student t test. Results: The mean age at presentation was 40.13 years. The male to female ratio was 1.47:1. The typical presentation was painful defecation. Fissures were most often located in the pos- terior midline and associated with a sentinel pile. Delayed postoperative healing was found in 4.4% of the group of patients undergoing open lateral sphincterotomy. The mean pain score and duration of hospital stay were lower with the closed technique. Conclusion: Closed lateral internal sphincterotomy is the treatment of choice for chronic fis-sures as it is effective, safe, less expensive, and associated with a lower rate of complications than the open sphincterotomy technique

Item Type: Article
Uncontrolled Keywords: Anal bleeding; Chronic anal fissures; Lateral sphincterotomy; Pain
Subjects: Medicine > KMC Manipal > Surgery
Depositing User: KMC Manipal
Date Deposited: 15 Apr 2014 06:43
Last Modified: 15 Apr 2014 06:43
URI: http://eprints.manipal.edu/id/eprint/139367

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