ISJ Theoretical & Applied Science 11(67) 2018

Philadelphia, USA

Zaffar, H., Inayat, H. R., & Tariq, M.

Non surgical management of chronic anal fissure.

Full Article: PDF

Scientific Object Identifier: http://s-o-i.org/1.1/TAS-11-67-56

DOI: https://dx.doi.org/10.15863/TAS.2018.11.67.56

Language: English

Citation: Zaffar, H., Inayat, H. R., & Tariq, M. (2018). Non surgical management of chronic anal fissure. ISJ Theoretical & Applied Science, 11 (67), 327-330. Soi: http://s-o-i.org/1.1/TAS-11-67-56 Doi: https://dx.doi.org/10.15863/TAS.2018.11.67.56

Pages: 327-330

Published: 30.11.2018

Abstract: Objective: To determine outcome of chronic anal fissure after non surgical management by chemical spincterotomy. Design and duration: This is a prospective study started in October 2017 and completed in May 2018. Setting: Study was conducted in Mayo Hospital Lahore general surgical unit. This is a tertiary care hospital. Patients and methods: Total 120 cases were included in this study having chronic anal fissure more than 6 months. These cases were admitted in general surgery ward for sphincterotomy by chemical method. Both male and female cases of different age groups were admitted in the ward. After getting al necessary investigations and taking anesthesia fitness operation was done on elective basis. Consent for operation was taken from the patient and they were told about benefits and complications of the procedure. Consent was also taken from the medical superintendant. Data was analyzed and expressed via tables and graphs. Frequencies and percentages were calculated. Results: There were total 120 cases in this study including 76(63.3%) male and 44(36.7%) female cases. There were 35(29.2%) cases between 25-35 years age, 25(20.8%) cases were between 36-45 years, 40(33.3%) cases were between 46-55 years and 20(16.7%) cases were having age above 55 years. Procedure was successful in 98(81.7%) cases and unsuccessful in 22(18.3%) cases. Conclusion: Chemical sphincterotomy is a procedure with minimum complications and good outcome with good prognosis. Expert doctor and patient preparation before surgery determine success of treatment.

Key words: Chronic anal fissure, shincterotomy, anal pain, Constipation.