A Comparative Study of Efficacy of Outcome of Lateral Internal Sphincterotomy versus Subcutaneous Fissurectomy in Chronic Fissure in Ano

Abstract

Background: Fissure-in-ano is a very common problem across the world which causes considerable morbidity and affects the patient’s quality of life to a greater extent. Anal fissure is a common painful condition affecting the anal canal. The main aim of study was to compare the efficacy of outcome of subcutaneous fissurectomy versus lateral internal sphincterotomy in chronic fissure in Ano. Subjects and Methods: The study was a prospective, parallel group, comparative trial. The study was conducted at Department of General Surgery, Chalmeda AnandRao Institute of Medical Sciences, Karimnagar. The number of patients included in the study was 50. Patients were divided into lateral internal sphincterotomy groups and subcutaneous fissurectomy groups. Patients were followed up regularly for relief of symptoms i.e., pain in the anal region and bleeding from anal region and for complications like incontinence; duration of sitz baths and number of work days lost. Results: The mean age group in the present study was 38.24  9.96 for subcutaneous fissurectomy and 39.2  10.4 for lateral internal sphincterotomy; there was no significant difference in the mean age in either of the groups with P value > 0.05. Conclusion: The current study shows results in favor of subcutaneous fissurectomy with a healing rate of 100% with faster pain-relief and minimal or no complications if performed by the hands of an experienced surgeon.