A STUDY OF 100 CASES OF LATERAL INTERNAL SPHINCTEROTOMY FOR FISSURE-IN-ANO
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 91
Abstract
BACKGROUND Fissure-in-ano is a common surgical problem. It causes a lot of pain. It causes loss of many functioning man-hours. Anal fissure is an ulcer in the long axis of lower anal canal. The aim of this study is to find out the effectiveness of lateral internal sphincterotomy in anal fissure. Perianal pain forms large volume of patients in any surgical OPD. MATERIALS AND METHODS A case series of 100 patients at the Surgery Department of a Medical College and Tertiary Health Care Centre over a period of 6 months that included cases of fissure-in-ano in the age group of 18 yrs. and above for surgical management. RESULTS The pain relief of the patients after this operation was fast and very satisfactory. On followup at 2 weeks post-operatively, pain and other symptoms were present in only 19 patients (19%). On followup at 8 weeks post-operatively, all the 100 patients were symptom free (100%) in this study. The complications that were observed during this study were soiling in 9 patients (9%) and incontinence to flatus in 3 patients (3%). There was no recurrence of anal fissure observed in this study group. CONCLUSION From the above study, it is proved that lateral internal sphincterotomy is by far the best operation for fissure-in-ano.
Authors and Affiliations
Ravichandran Kailasam Subramaniam, Jeena Josephine
Keywords
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- EP ID EP278555
- DOI 10.14260/jemds/2017/1395
- Views 84
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