OUTCOMES OF LATERAL SPHINCTEROTOMY IN CHRONIC ANAL FISSUREAN OBSERVATIONAL STUDY BASED ON CLINICAL FOLLOW UP.

Autor: Shukla, Brijesh Kumar, Kumar, Amit, Mishra, Ritambhara
Předmět:
Zdroj: Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2024, Vol. 15 Issue 1, p919-925, 7p
Abstrakt: Background: Chronic anal fissure is a benign disorder that is associated with considerable discomfort. Lateral internal sphincterotomy (LIS) remains the gold-standard treatment of chronic anal fissure (CAF). Aim: The present study was conducted to assess outcomes of lateral splinterotomy in chronic anal fissure. Methods: 65 patients underwent lateral splinterotomy in chronic anal fissure of both genders. Patients were recalled regularly and outcome was evaluated. Results: Out of 65 patients, males were 30 and females were 35. common complaints were pain during defecation in 92%, rectal bleeding in 84%, pruritis in 25%, constipation in 48% and perianal discharge in 14%. The common complications were rectal bleeding in 27%, perianal abscess in 4%, perianal hematoma in 3.7% and recurrence of lesion in 1.6%. Pain relief was seen at first week in 65%, at second week in 74%, at fourth week in 82% and at eighth week in 96% patients. The difference was significant (P< 0.05). Conclusion: LIS is the gold standard for the treatment of chronic anal fissure and patients found good pain relief. Common complication found was rectal bleeding. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index