PROSPECTIVE RANDOMIZED STUDY BETWEEN OPEN VS CLOSED LATERAL ANAL INTERNAL SPHINCTEROTOMY IN PATIENTS WITH CHRONIC FISSURE IN ANO AT SKMCH, MUZAFFARPUR, BIHAR-Reference-Cited by-同舟云学术

PROSPECTIVE RANDOMIZED STUDY BETWEEN OPEN VS CLOSED LATERAL ANAL INTERNAL SPHINCTEROTOMY IN PATIENTS WITH CHRONIC FISSURE IN ANO AT SKMCH, MUZAFFARPUR, BIHAR

Published:2021-04-01 Issue: Volume: Page:65-66
ISSN:
Container-title:INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH
language:en
Short-container-title:ijsr

Author:

Vikram Kumar¹,Kumar Sanjay¹,Kumar Manoj²,Jana Debarshi³

Affiliation:

1. MBBS, M.S. (Gen. Surg.), Senior Resident, Department of Surgery, Sri Krishna Medical College & Hospital, Muzaffarpur, Bihar

2. MBBS, M.S. (Gen. Surg.), Associate Professor, Department of Surgery, Sri Krishna Medical College & Hospital, Muzaffarpur, Bihar.

3. Young Scientist (DST), Institute of Post-Graduate Medical Education and Research, A.J.C. Bose Road, Kolkata-700020, West Bengal, India.

Abstract

Background: One of the most common cause of pain during defecation in young patients is chronic ssure in ano. Surgical treatment of choice for chronic ssure in ano is internal sphincterotomy. This procedure can be performed by open or closed method. The aim of the study was to compare the closed and open anal internal sphincterotomy in patients admitted in our hospital with chronic anal ssure. Subjects and Methods: 105 patients admitted in department of general surgery with chronic ssure in ano were divided into two groups. 50 patients (Group A) who were treated by closed method and 55 patients (Group B) who were managed by open lateralanal sphincterotomy method. A3 months follow up done in both postsurgery to observe for pain, bleeding, infection, incontinence, and recurrence. Results: Signicant difference was observed in postoperative acute complications between the two methods of internal anal sphincterotomy. Conclusion: Lateral anal sphincterotomy is the treatment of choice for chronic anal ssure, either open or closed method. However, the closed method was observed to have lesserpost operative complication compared to the open method

Publisher

World Wide Journals

Reference14 articles.

1. Callion KM, Gardner KR. Progress in the understanding and treatment of chronic anal fissure. Postgrad Med J. 2001;77(914):753–768.

2. Gibbons CP, Read NW. Anal hypertonia in fissures: Cause or effect? Br J Surg. 1986;73(6):443–445.

3. Gupta V, Rodrigues G, Prabhu R, Ravi C. Open versus closed lateral internal anal sphincterotomy in the management of chronic anal fissures: A prospective randomized study. Asian J Surg. 2014;37(4):178–183.

4. Hananel N, Gordon PH.Lateral internal sphincterotomy for fissure-in-ano—Revisited. Dis Colon Rectum. 1997;40(5):597–602.

5. Hasse C, Brune M, Bachmann S, Lorenz W, Rothmund M, Sitter H. Lateral, partial sphincter myotomy as therapy of chronic anal fissure. Long-term outcome of an epidemiological cohort study. Chirug. 2004;75:160–167.